S46.399S — Other injury of muscle, fascia and tendon of triceps, unspecified arm, sequela
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Documentation Required
- This document (background/review section) does not specify documentation requirements, prior authorization criteria, frequency limits, ICD-10 or CPT codes, or other medical-record requirements for phonophoresis.
- No explicit 'Documentation Requirements' section is present in this text chunk.
- None specified in the policy.
1 Active Policy
AETNA-CPB-0210 — Phonophoresis
Related Codes
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