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.