Prior Auth Required
81503 - Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceOncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1
Procedure / Service Description
Genetic and Molecular Testing Medical Necessity Guideline - 81500 Oncology (ovarian), biochemical assays of two proteins (CA-125 and HE4), utilizing serum, with menopausal status, algorithm reported as a risk score 81503 Oncology (ovarian), biochemical assays of five proteins (CA-125, apolipoprotein A1, beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as 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.