Prior Auth Required

0538U - 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.

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

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 0538U Oncology (solid tumor), next-generation Prior Authorization Required Genetic Testing Submit online review with Carelon at targeted sequencing analysis, formalin- www.providerportal.com. For Prior fixed paraffin-embedded (FFPE) tumor 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.