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.