Prior Auth Required

0376U - Oncology (prostate cancer), image analysis Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceOncology (prostate cancer), image analysis Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - cancer risk score 0376U Oncology (prostate cancer), image analysis Possible Denial; Medical Records Investigative Documentation optional. of at least 128 histologic features and Optional clinical factors, prognostic algorithm

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.