Prior Auth Required

0011M - Oncology, prostate cancer, mRNA 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 cancer, mRNA 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 0011M Oncology, prostate cancer, mRNA Prior Authorization Required Genetic Testing Submit online review with Carelon at expression assay of 12 genes (10 content www.providerportal.com. WA PLAN and 2 housekeeping), RT-PCR test utilizing 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.