Prior Auth Required

0295U - Oncology (breast ductal carcinoma in situ), Possible Denial; Medical Records Investigative Documentation optional

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Procedure / ServiceOncology (breast ductal carcinoma in situ), Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

18 genes, whole blood, algorithm reported Authorization: History and Physical, - as predictive risk score results of previous diagnostics procedure report. 0295U Oncology (breast ductal carcinoma in situ), Possible Denial; Medical Records Investigative Documentation optional. protein expression profiling by Optional immunohistochemistry of 7 proteins

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.