Prior Auth Required

0005U - Oncology (prostate) gene expression Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceOncology (prostate) gene expression Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 0005U Oncology (prostate) gene expression Prior Authorization Required Genetic Testing Submit online review with Carelon at profile by real-time RT-PCR of 3 genes www.providerportal.com. WA PLAN (ERG, PCA3, and SPDEF), urine, MEMBERS ONLY: No prior authorization

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.