Prior Auth Required

0459U - Proprietary laboratory analyses Includes the following CPT® codes

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceProprietary laboratory analyses Includes the following CPT® codes
Procedure / Service Description

Private duty nursing services Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services X X - Palliative care X X Private duty nursing services Early and Periodic Screening, Diagnosis and Treatment (EPSDT) services X X Proprietary laboratory analyses Includes the following CPT® codes: 0457U, 0459U, 0462U, 0468U, 0472U, 0577U, X X 0579U, 0591U, 0596U, 0598U, 0599U, 0641U, 0615U

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.