MA08.115c, Teprotumumab (Tepezza®)
Independence Blue Cross added three ICD-10 diagnosis codes (H05.831, H05.832, H05.833) for thyroid orbitopathy to policy MA08.115c effective 10/01/2025. These codes specify laterality (right orbit, left orbit, bilateral) for Teprotumumab (Tepezza) claims and must be used alongside existing thyrotoxicosis codes to support medical necessity for coverage.