Prior Auth Required

0053U - needle biopsy specimen, algorithm reported as probability of higher tumor grade

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / Serviceneedle biopsy specimen, algorithm reported as probability of higher tumor grade
Procedure / Service Description

Cerebral Perfusion Anaysis, Ct W/Contrst, Postprocess, Determ Cerebral Blood Flow/Vol & - 0053T heart) excl thoracic unit Oncology (prostate cancer), FISH analysis of 4 genes (ASAP1, HDAC9, CHD1 and PTEN), 0053U needle biopsy specimen, algorithm reported as probability of higher tumor grade Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single 0055U nucleotide polymorphism targets and two control targets), plasma

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.