Prior Auth Required

0101U - EPCAM and GREM1 [deletion/duplication only])

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceEPCAM and GREM1 [deletion/duplication only])
Procedure / Service Description

Placement of a subconjunctival retinal prosthesis receiver and pulse generator, and - combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication], 0101U EPCAM and GREM1 [deletion/duplication only]) Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, 0102T and involving the lateral humeral epicondyle

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.