Prior Auth Required

0172U - Oncology (solid tumor as indicated by the 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 (solid tumor as indicated by the 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 0172U Oncology (solid tumor as indicated by the Prior Authorization Required Genetic Testing Submit online review with Carelon at label), somatic mutation analysis of BRCA1 www.providerportal.com. WA PLAN (BRCA1, DNA repair associated), BRCA2 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.