Prior Auth Required

81504 - formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Serviceformalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores
Procedure / Service Description

ATRX, CDKL5, FGD1, FMR1, HUWE1, IL1RAPL, KDM5C, L1CAM, MECP2, MED12, MID1, OCRL, - 81493 utilizing whole peripheral blood, algorithm reported as a risk score Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing 81504 formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores Endocrinology, Biochemical Assays Of Seven Analytes Utilizing Serum Or Plasma, Algorithm 81506 Reporting A Risk Score

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.