Prior Auth Required

0454U - Rare diseases (constitutional/heritable 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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Procedure / ServiceRare diseases (constitutional/heritable Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

quantitative PCR assay (SEPTIN9, IKZF1, Authorization: History and Physical, - circulating tumor DNA (ctDNA) 0454U Rare diseases (constitutional/heritable Prior Authorization Required Genetic Testing Submit online review with Carelon at disorders), identification of copy number www.providerportal.com. For Prior variations, inversions, insertions, 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.