Prior Auth Required

0523U - Oncology (solid tumor), DNA, qualitative, Prior Authorization Required Genetic Testing No review for non-cancer diagnoses

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceOncology (solid tumor), DNA, qualitative, Prior Authorization Required Genetic Testing No review for non-cancer diagnoses
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - antibodies, chemiluminescence, semiqualitative, blood 0523U Oncology (solid tumor), DNA, qualitative, Prior Authorization Required Genetic Testing No review for non-cancer diagnoses. next-generation sequencing (NGS) of FOR CANCER DIAGNOSES ONLY: single-nucleotide variants (SNV) and Submit online review with Carelon at

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.