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0403U - reported as percentage of likelihood of detecting clinically significant prostate cancer

This procedure appears on the selected insurer prior authorization source.

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Procedure / Servicereported as percentage of likelihood of detecting clinically significant prostate cancer
Procedure / Service Description

Cardiology (coronary heart disease [CHD]), 9 genes (12 variants), targeted variant genotyping, - 0401U blood, saliva, or buccal swab, algorithm reported as a genetic risk score for a coronary event Oncology (prostate), mRNA, gene expression profiling of 18 genes, first-catch urine, algorithm 0403U reported as percentage of likelihood of detecting clinically significant prostate cancer Oncology (pancreatic), 59 methylation haplotype block markers, next-generation sequencing, 0405U plasma, reported as cancer signal detected or not detected

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.