Prior Auth Required

0438U - including reported phenotypes and impacted gene-drug interactions

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceincluding reported phenotypes and impacted gene-drug interactions
Procedure / Service Description

Programming device evaluation of implanted neurostimulator pulse generator system for - Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant analysis of 33 genes, including deletion/duplication analysis of CYP2D6, 0438U including reported phenotypes and impacted gene-drug interactions B-amyloid (Abeta42) and phospho tau (181P) (pTau181), electrochemiluminescent immunoassay (ECLIA), cerebral spinal fluid, ratio reported as positive or negative for amyloid

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.