Prior Auth Required

0163U - Oncology (colorectal) screening, 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 / ServiceOncology (colorectal) screening, Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

(MLH1, MSH2, MSH6, PMS2) (list MEMBERS ONLY: No prior authorization - Carelon. 0163U Oncology (colorectal) screening, Possible Denial; Medical Records Investigative Documentation optional. biochemical enzyme-linked immunosorbent Optional assay (ELISA) of 3 plasma or serum

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.