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0104U - 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
Extracorporeal shock wave performed by a physician, requiring anesthesia other than local, - combination of NGS, Sanger, MLPA, and array CGH, with MRNA analytics to resolve variants of unknown significance when indicated (32 genes [sequencing and deletion/duplication], 0104U EPCAM and GREM1 [deletion/duplication only]) Nephrology (chronic kidney disease), multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A, receptor superfamily 2 (TNFR1, TNFR2), and
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.