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.