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0518U - Therapeutic drug monitoring, 90 or more Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceTherapeutic drug monitoring, 90 or more Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

MS/MS, plasma, qualitative and - maximally effective dose of prescribed and non-prescribed medications 0518U Therapeutic drug monitoring, 90 or more Non-covered Service Benefit Exception Considered non-covered unless pain and mental health drugs or member's contract indicates coverage. substances, LC-MS/MS, plasma,

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.