Prior Auth Required

0112U - Infectious agent detection and Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceInfectious agent detection and Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

(codons 12, 13, and 61) gene analysis MEMBERS ONLY: No prior authorization - Carelon. 0112U Infectious agent detection and Possible Denial; Medical Records Investigative Documentation optional. identification, targeted sequence analysis Optional (16S and 18S rRNA genes) with drug-

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.