Conn. Agencies Regs. tit. 17, 134d, Immediate Medical Coverage for Newborn Children, app A
The following are the diagnoses codes which would be acceptable justification for invalid coach transportation. Invalid coach trips with these diagnoses do not require prior authorization.
170.2 | Malignant neoplasm of bone, vertical column |
170.6 | Malignant neoplasm of bone, pelvic bones, sacrum, and coccyx |
170.7 | Malignant neoplasm of bone, long bones of lower limb |
170.8 | Malignant neoplasm of bone, short bones of lower limb |
333.4 | Huntington's chorea |
334.0 | Friedreich's Ataxia |
342 | Hemiplegia |
344.0 | Quadriplegia |
344.1 | Paraplegia |
357.2 | Diabetic Neuropathy |
444.22 | Thrombosis-lower extremity |
820 | Fx neck femur (within six (6) months) |
822 | Fx patella (within six (6) months) |
823 | Fx tibia and fibula (within six (6) months) |
896 | Below knee amputation |
897 | Above knee amputation |
Conn. Agencies Regs. tit. 17, 134d, Immediate Medical Coverage for Newborn Children, app A