Prior Auth Required

0113U - Oncology (prostate), measurement of 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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Prior authorizationPrior Auth Required
Procedure / ServiceOncology (prostate), measurement of 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 0113U Oncology (prostate), measurement of Prior Authorization Required Genetic Testing Submit online review with Carelon at PCA3 and TMPRSS2-ERG in urine and www.providerportal.com. WA PLAN PSA in serum following prostatic massage, 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.