Diagnosis Codes
Covered diagnosis codes for procedure codes: 52441, 52442, 52450, 52601, 52630, 52640, 52647, 52648, 52649, 53850, 53852, 53854, 55801, 55810, 55812, 55815, 55821, 55831, 55840, 55842, 55845, 55866.
D29.1
|
D40.0
|
D49.59
|
N32.0
|
N32.89
|
N32.9
|
N39.41
|
N39.42
|
N39.43
|
N39.44
|
N39.45
|
N39.46
|
N40.0
|
N40.1
|
N40.2
|
N40.3
|
N41.0
|
N41.1
|
N41.2
|
N41.3
|
N41.4
|
N41.8
|
N41.9
|
N42.83
|
N42.89
|
N42.9
|
|
|
Covered diagnosis codes for procedure codes: 52441, 52442, 52601, 52630, 52640, 52647, 52648, 52649, 53850, 53852, 55873, 55880, 55866
Covered diagnosis codes for procedure codes: 55810, 55812, 55815, 55840, 55842, 55845 and 55866