Prior Auth Required

81546 - reported as a categorical result (eg, benign or suspicious)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicereported as a categorical result (eg, benign or suspicious)
Procedure / Service Description

Code NAME/DESCRIPTION COMMENTS - 81521 to risk of distant metastasis Oncology (thyroid), mRNA, gene expression analysis of 10,196 genes, utilizing fine needle aspirate, algorithm 81546 reported as a categorical result (eg, benign or suspicious) 81599 Unlisted multianalyte assay with algorithmic analysis Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5

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.