Prior Auth Required

0427T - pulse generator only

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicepulse generator only
Procedure / Service Description

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using - 0426U sequence analysis Insertion or replacement of neurostimulator system for treatment of central sleep apnea; 0427T pulse generator only 0428T Removal of neurostimulator system for treatment of central sleep apnea; pulse generator only Oncology (breast), targeted hybrid-capture genomic sequence analysis panel, circulating

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.