Prior Auth Required
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.