Prior Auth Required

0428U - mutation burden

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicemutation burden
Procedure / Service Description

Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using - tumor DNA (ctDNA) analysis of 56 or more genes, interrogation for sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability, and tumor 0428U mutation burden 0429T Removal of neurostimulator system for treatment of central sleep apnea; sensing lead only 0430T Removal of neurostimulator system for treatment of central sleep apnea; 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.