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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

200 mg

PACKAGING CONFIGURATION

Bottle of 120

APPEARANCE

Capsule with a white opaque body and dark green opaque cap

NDC

65597-402-20

DEBOSSING

T10

STRENGTH PACKAGING CONFIGURATION APPEARANCE NDC DEBOSSING

200 mg

Bottle of 120

Capsule with a white opaque body and dark green opaque cap

65597-402-20

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.