D5911

A = NA, prior authorization

D5912

A = NA, prior authorization

D5913

A = NA, prior authorization

D5914

A = NA, prior authorization

D5915

A = NA, prior authorization

D5916

A = NA, prior authorization

D5919

A = NA, prior authorization

D5922

A = NA, prior authorization

D5923

A = NA, prior authorization

D5924

A = NA, prior authorization

D5925

A = NA, prior authorization

D5926

A = NA, prior authorization

D5927

A = NA, prior authorization

D5928

A = 1 year of age and older, prior authorization

D5929

A = 1 year of age and older, prior authorization

D5931

A = 1 year of age and older, prior authorization

D5932

A = NA, prior authorization

D5933

A = NA, prior authorization

D5934

A = 1 year of age and older, prior authorization

D5935

A = 1 year of age and older, prior authorization

D5936

A = 1 year of age and older, prior authorization

D5937

A = NA, prior authorization

D5951

A = NA, prior authorization

D5952

A = birth through 12 years of age, prior authorization

D5953

A = 13 years of age and older, prior authorization

D5954

A = NA, prior authorization

D5955

A = 13 years of age and older, prior authorization

D5958

A = NA, prior authorization

D5959

A = NA, prior authorization

D5960

A = NA, prior authorization

D5982

A = NA, prior authorization

D5983

A = NA, prior authorization

D5984

A = NA, prior authorization

D5985

A = NA, prior authorization

D5986

A = NA, prior authorization

D5987

A = NA, prior authorization

D5988

A = NA, prior authorization

D5999

A = NA, prior authorization