Prior Auth Required

0414U - for each biomarker

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicefor each biomarker
Procedure / Service Description

Oncology (lung), augmentative algorithmic analysis of digitized whole slide imaging for 8 genes - (ALK, BRAF, EGFR, ERBB2, MET, NTRK1-3, RET, ROS1), and KRAS G12C and PD-L1, if performed, formalin-fixed paraffin-embedded (FFPE) tissue, reported as positive or negative 0414U for each biomarker Repositioning of previously implanted cardiac contractility modulation transvenous electrode, 0415T (atrial or ventricular lead)

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.