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0103U - genes [sequencing and deletion/duplication], EPCAM [deletion/duplication only])

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicegenes [sequencing and deletion/duplication], EPCAM [deletion/duplication only])
Procedure / Service Description

Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, - genomic sequence analysis panel utilizing a combination of NGS, Sanger, MLPA, and array CGH, with mRNA analytics to resolve variants of unknown significance when indicated (24 0103U genes [sequencing and deletion/duplication], EPCAM [deletion/duplication only]) Hereditary pan cancer (eg, hereditary breast and ovarian cancer, hereditary endometrial cancer, hereditary colorectal cancer), genomic sequence analysis panel utilizing a

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.