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Coverage & Access Support

Learn about the specialty pharmacy process for TURALIO, view relevant codes, and discover programs that can help address coverage issues.

Coverage and Access Support

Coding - Product descriptions and NDC codes

Product description and NDC

The following information, including NDC, may be important when writing a prescription for and/or completing a prior authorization for TURALIO.

STRENGTH	125 mg
PACKAGING CONFIGURATION	Bottle of 120
APPEARANCE	Capsule with a white opaque body and powder blue opaque cap with black print
NDC	65597-407-20
DEBOSSING	T10

STRENGTH	PACKAGING CONFIGURATION	APPEARANCE	NDC	DEBOSSING
125 mg	Bottle of 120	Capsule with a white opaque body and powder blue opaque cap with black print	65597-407-20	T10

Diagnosis codes

TURALIO prescriptions require an appropriate ICD-10-CM code. The table displays possible ICD-10-CM codes for patients prescribed TURALIO. The completion and submission of coverage-related documentation are the responsibility of the patient and healthcare provider.

ICD-10-CM*^†

CODE	DESCRIPTION
M12.2^‡	Villonodular synovitis (pigmented)
M12.20	Villonodular synovitis (pigmented), unspecified site
M12.28	Villonodular synovitis (pigmented), other specified site
M12.29	Villonodular synovitis (pigmented), multiple sites
M12.21^‡	Villonodular synovitis (pigmented), shoulder
M12.211	Villonodular synovitis (pigmented), right shoulder
M12.212	Villonodular synovitis (pigmented), left shoulder
M12.219	Villonodular synovitis (pigmented), unspecified shoulder
M12.22^‡	Villonodular synovitis (pigmented), elbow
M12.221	Villonodular synovitis (pigmented), right elbow
M12.222	Villonodular synovitis (pigmented), left elbow
M12.229	Villonodular synovitis (pigmented), unspecified elbow
M12.23^‡	Villonodular synovitis (pigmented), wrist
M12.231	Villonodular synovitis (pigmented), right wrist
M12.232	Villonodular synovitis (pigmented), left wrist
M12.239	Villonodular synovitis (pigmented), unspecified wrist
M12.24^‡	Villonodular synovitis (pigmented), wrist
M12.241	Villonodular synovitis (pigmented), right hand
M12.242	Villonodular synovitis (pigmented), left hand
M12.249	Villonodular synovitis (pigmented), unspecified hand
M12.25^‡	Villonodular synovitis (pigmented), hip
M12.251	Villonodular synovitis (pigmented), right hip
M12.252	Villonodular synovitis (pigmented), left hip
M12.259	Villonodular synovitis (pigmented), unspecified hip
M12.26^‡	Villonodular synovitis (pigmented), knee
M12.261	Villonodular synovitis (pigmented), right knee
M12.262	Villonodular synovitis (pigmented), left knee
M12.269	Villonodular synovitis (pigmented), unspecified knee
M12.27^‡	Villonodular synovitis (pigmented), ankle and foot
M12.271	Villonodular synovitis (pigmented), right ankle and foot
M12.272	Villonodular synovitis (pigmented), left ankle and foot
M12.279	Villonodular synovitis (pigmented), unspecified ankle and foot
M65.8^‡	Other synovitis and tenosynovitis
M65.80	Other synovitis and tenosynovitis, unspecified site
M65.81^‡	Other synovitis and tenosynovitis, shoulder
M65.811	Other synovitis and tenosynovitis, right shoulder
M65.812	Other synovitis and tenosynovitis, left shoulder
M65.819	Other synovitis and tenosynovitis, unspecified shoulder
M65.82^‡	Other synovitis and tenosynovitis, upper arm
M65.821	Other synovitis and tenosynovitis, right upper arm
M65.822	Other synovitis and tenosynovitis, left upper arm
M65.829	Other synovitis and tenosynovitis, unspecified upper arm
M65.83^‡	Other synovitis and tenosynovitis, forearm
M65.831	Other synovitis and tenosynovitis, right forearm
M65.832	Other synovitis and tenosynovitis, left forearm
M65.839	Other synovitis and tenosynovitis, unspecified forearm
M65.84^‡	Other synovitis and tenosynovitis, hand
M65.841	Other synovitis and tenosynovitis, right hand
M65.842	Other synovitis and tenosynovitis, left hand
M65.849	Other synovitis and tenosynovitis, unspecified hand
M65.85^‡	Other synovitis and tenosynovitis, thigh
M65.851	Other synovitis and tenosynovitis, right thigh
M65.852	Other synovitis and tenosynovitis, left thigh
M65.859	Other synovitis and tenosynovitis, unspecified thigh
M65.86^‡	Other synovitis and tenosynovitis, lower leg
M65.861	Other synovitis and tenosynovitis, right lower leg
M65.862	Other synovitis and tenosynovitis, left lower leg
M65.869	Other synovitis and tenosynovitis, unspecified lower leg
M65.87^‡	Other synovitis and tenosynovitis, lower leg
M65.871	Other synovitis and tenosynovitis, right ankle and foot
M65.872	Other synovitis and tenosynovitis, left ankle and foot
M65.879	Other synovitis and tenosynovitis, unspecified ankle and foot
M65.88	Other synovitis and tenosynovitis, other site
M65.89	Other synovitis and tenosynovitis, multiple sites
M65.9	Synovitis and tenosynovitis, unspecified
M67.9^‡	Unspecified disorder of synovium and tendon
M67.91^‡	Unspecified disorder of synovium and tendon, shoulder
M67.911	Unspecified disorder of synovium and tendon, right shoulder
M67.912	Unspecified disorder of synovium and tendon, left shoulder
M67.919	Unspecified disorder of synovium and tendon, unspecified shoulder
M67.92^‡	Unspecified disorder of synovium and tendon, upper arm
M67.921	Unspecified disorder of synovium and tendon, right upper arm
M67.922	Unspecified disorder of synovium and tendon, left upper arm
M67.929	Unspecified disorder of synovium and tendon, unspecified upper arm
M67.93^‡	Unspecified disorder of synovium and tendon, forearm
M67.931	Unspecified disorder of synovium and tendon, right forearm
M67.932	Unspecified disorder of synovium and tendon, left forearm
M67.939	Unspecified disorder of synovium and tendon, unspecified forearm
M67.94^‡	Unspecified disorder of synovium and tendon, hand
M67.941	Unspecified disorder of synovium and tendon, right hand
M67.942	Unspecified disorder of synovium and tendon, left hand
M67.949	Unspecified disorder of synovium and tendon, unspecified hand
M67.95^‡	Unspecified disorder of synovium and tendon, thigh
M67.951	Unspecified disorder of synovium and tendon, right thigh
M67.952	Unspecified disorder of synovium and tendon, left thigh
M67.959	Unspecified disorder of synovium and tendon, unspecified thigh
M67.96^‡	Unspecified disorder of synovium and tendon, lower leg
M67.961	Unspecified disorder of synovium and tendon, right lower leg
M67.962	Unspecified disorder of synovium and tendon, left lower leg
M67.969	Unspecified disorder of synovium and tendon, unspecified lower leg
M67.97^‡	Unspecified disorder of synovium and tendon, ankle and foot
M67.971	Unspecified disorder of synovium and tendon, right ankle and foot
M67.972	Unspecified disorder of synovium and tendon, left ankle and foot
M67.979	Unspecified disorder of synovium and tendon, unspecified ankle and foot
M67.98	Unspecified disorder of synovium and tendon, other site
M67.99	Unspecified disorder of synovium and tendon, multiple sites
D21.1^‡	Benign neoplasm of connective and other soft tissue of upper limb, including shoulder
D21.10	Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder
D21.11	Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder
D21.12	Benign neoplasm of connective and other soft tissue of left upper limb, including shoulder
D21.2^‡	Benign neoplasm of connective and other soft tissue of lower limb, including hip
D21.20	Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip
D21.21	Benign neoplasm of connective and other soft tissue of right lower limb, including hip
D21.22	Benign neoplasm of connective and other soft tissue of left lower limb, including hip
D21.9	Benign neoplasm of connective and other soft tissue, unspecified
D36.0	Benign neoplasm of lymph nodes
D36.1^‡	Benign neoplasm of peripheral nerves and autonomic nervous system
D36.11	Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck
D36.12	Benign neoplasm of peripheral nerves and autonomic nervous system, upper limb, including shoulder
D36.13	Benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hip
D36.14	Benign neoplasm of peripheral nerves and autonomic nervous system of thorax
D36.15	Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen
D36.16	Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
D36.17	Benign neoplasm of peripheral nerves and autonomic nervous system of trunk, unspecified
D36.7	Benign neoplasm of other specified sites
D36.9	Benign neoplasm, unspecified site
D48.1	Neoplasm of uncertain behavior of connective and other soft tissue

^*International Classification of Diseases, Tenth Revision, Clinical Modification.

^†A joint effort between the healthcare provider and the coder is essential to achieve complete and accurate documentation, code assignment, and reporting of diagnoses and procedures. This guidance has been developed to assist both the healthcare provider and the coder in identifying those diagnoses that are to be reported. The importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation, accurate coding cannot be achieved. The entire record should be reviewed to determine the specific reason for the encounter and the conditions treated.

^‡This is a nonbillable diagnosis code that indicates a subcategory. For reporting purposes, only codes with the full number of required characters are permissible.

For any questions regarding the TURALIO prescription, please call Biologics at 1-800-850-4306.

The completion and submission of coverage-related documentation are the responsibility of the patient and healthcare provider. Daiichi Sankyo, Inc. makes no representation or guarantee concerning coverage or reimbursement for any service or item. A completed form includes signatures from both the physician and the patient. Before submitting, please ensure all required information is provided.