Prior Auth Required

0425U - analysis, each comparator genome (eg, parents, siblings)

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceanalysis, each comparator genome (eg, parents, siblings)
Procedure / Service Description

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using - 0425T sensing lead only Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence 0425U analysis, each comparator genome (eg, parents, siblings) Insertion or replacement of neurostimulator system for treatment of central sleep apnea; 0426T stimulation lead only

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.