Prior Auth Required
0034U - NUDT15 *3, *4, *5)
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceNUDT15 *3, *4, *5)
Procedure / Service Description
Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA - TPMT (thiopurine S-methyltransferase), NUDT15 (nudix hydroxylase 15)(eg, thiopurine metabolism) gene analysis, common variants (ie, TPMT *2, *3A, *3B, *3C, *4, *5, *6, *8, *12; 0034U NUDT15 *3, *4, *5) Exome (ie, somatic mutations), paired formalin-fixed paraffin-embedded tumor tissue and 0036U normal specimen, sequence analyses
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.