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81504 - Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes

This procedure appears on the selected insurer prior authorization source.

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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.