Prior Auth Required

0473U - Oncology (solid tumor), next-generation Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceOncology (solid tumor), next-generation Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

Sjogren syndrome - performed, with review and report by a qualified health care professional 0473U Oncology (solid tumor), next-generation Prior Authorization Required Genetic Testing Submit online review with Carelon at sequencing (NGS) of DNA from formalin- www.providerportal.com. For Prior fixed paraffin-embedded (FFPE) tissue 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.