Prior Auth Required

0425T - sensing lead only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicesensing lead only
Procedure / Service Description

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using - 0424U molecular evidence, low-, moderate- or elevated-risk of prostate cancer Insertion or replacement of neurostimulator system for treatment of central sleep apnea; 0425T sensing lead only Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence 0425U analysis, each comparator genome (eg, parents, siblings)

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.