Prior Auth Required

0169U - NUDT15 (nudix hydrolase 15) and TPMT 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 / ServiceNUDT15 (nudix hydrolase 15) and TPMT Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

disc),, anterior approach, lumbar, each documentation of medical necessity and - disc),, anterior approach, lumbar, each documentation of medical necessity and additional interspace procedure report. 0169U NUDT15 (nudix hydrolase 15) and TPMT Prior Authorization Required Genetic Testing Submit online review with Carelon at (thiopurine S-methyltransferase) (eg, drug www.providerportal.com. For Prior metabolism) gene analysis, common Authorization: History and Physical,

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.