The following CPT codes CMS ICD10 - BCBSRI

The following CPT codes 11055, 11056, 11057, and 11719, are covered only when submitted with 1 of the following diagnosis codes. All other uses are considered not medically necessary.

CMS ICD10 E09.319 G60.0 E13.331 E75.248 I70.262 I79.8 A52.14 E09.21 I70.221 A30.0

E13.49 E08.321 E13.42 E13.610 I70.218 I70.202 M05.552 M05.529 I70.203 N18.6

A30.8 I82.5Z9 I82.891 L62 I73.81 E10.43 I73.1 I80.211 E08.349 I70.233

E52 E10.351 E11.339 E13.311 M05.429 E13.44 E13.51 I70.263 M05.579 M05.522

E11.21 E11.341 I70.241 G82.50 E85.8 R26.9 E08.341 E10.51 M05.521 M05.461

G12.21 E08.65 G62.2 N18.1 E51.12 E13.349 G73.1 E10.319 E10.29 G61.89

E11.36 E09.36 E08.29 A30.5 M05.59 A30.4 I79.1 N18.2 E13.40 I70.212

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