Prior Auth Required
81504 - Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceOncology (tissue of origin), microarray gene expression profiling of > 2000 genes
Procedure / Service Description
Genetic and Molecular Testing Medical Necessity Guideline - beta-2 microglobulin, transferrin, and pre-albumin), utilizing serum, algorithm reported as a risk score 81504 Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores
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.