Prior Auth Required

0358U - positive, or negative

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicepositive, or negative
Procedure / Service Description

Optical coherence tomography of breast or axillary lymph node, excised tissue, each - Neurology (mild cognitive impairment), analysis of B-amyloid 1-42 and 1-40, chemiluminescence enzyme immunoassay, cerebral spinal fluid, reported as positive, likely 0358U positive, or negative Oncology (prostate cancer), analysis of all prostate-specific antigen (PSA) structural isoforms 0359U by phase separation and immunoassay, plasma, algorithm reports risk of cancer

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.