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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), hand

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

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

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.