Prior Auth Required

0003M - steatohepatitis (NASH)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicesteatohepatitis (NASH)
Procedure / Service Description

Physician or other qualified health care professional attendance and supervision of hyperbaric - bilirubin, GGT, haptoglobin, AST, glucose, total cholesterol and triglycerides) utilizing serum, prognostic algorithm reported as quantitative scores for fibrosis, steatosis and nonalcoholic 0003M steatohepatitis (NASH) Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and 0005U SPDEF), urine, algorithm reported as risk score

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.