Prior Auth Required

0376U - appropriate

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceappropriate
Procedure / Service Description

specific mortality, includes predictive algorithm to androgen deprivation-therapy response, if - factors, prognostic algorithm determining the risk of distant metastases, and prostate cancer- specific mortality, includes predictive algorithm to androgen deprivation-therapy response, if 0376U appropriate Cardiovascular disease, quantification of advanced serum or plasma lipoprotein profile, by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including

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.