Prior Auth Required
0016M - luminal infiltrated, basal, basal claudin-low, neuroendocrine-like)
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Serviceluminal infiltrated, basal, basal claudin-low, neuroendocrine-like)
Procedure / Service Description
Physician or other qualified health care professional attendance and supervision of hyperbaric - Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (luminal, 0016M luminal infiltrated, basal, basal claudin-low, neuroendocrine-like) Oncology (hematolymphoid neoplasia), RNA, BCR/ABL1 major and minor breakpoint fusion transcripts, quantitative PCR amplification, blood or bone marrow, report of fusion not
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.