T17.428S — Food in trachea causing other injury, sequela
ICD-10-CM
Prior Authorization
No Prior Auth Required
Code is covered without prior authorization (high confidence)
Documentation Required
- This billing/coding guideline complements LCD L33459 (Computerized Axial Tomography (CT), Thorax); follow the LCD for clinical coverage and any required documentation or prior authorization rules.
- Document evaluations and re-evaluations and bill re-evaluations using the evaluation CPT code (per policy guidance).
- Document selection/prescription and programming/modification of speech-generating devices and use CPT 92607/92608 for selection/prescription and CPT 92609 for programming/modification on claims.
- Claims and coding must follow the complementary Local Coverage Determination (LCD L34429) guidelines referenced in this policy.
Key Coverage Criteria
- Coverage for programming and modification of speech-generating devices using CPT 92609.
- Coverage for individual outpatient treatment of speech, language, voice, communication, and/or auditory processing disorders using CPT 92507.
- Coverage for group outpatient treatment (2 or more individuals) of speech, language, voice, communication, and/or auditory processing disorders using CPT 92508.
- Coverage for selection and prescription of speech-generating devices (SGDs) using CPT 92607 and 92608.
- CT thorax is covered for diagnosis and/or staging of neoplastic and hematologic processes arising in or involving the thorax.
- CT thorax is covered to evaluate pulmonary, mediastinal, pleural, and chest wall infections and their complications.
4 Active Policies
A56580 — Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56868 — Billing and Coding: Outpatient Speech Language Pathology
L34429 — Outpatient Speech Language Pathology
L33459 — Computerized Axial Tomography (CT), Thorax
Related Codes
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