Prior Auth Required

0575U - Transplantation medicine (liver allograft Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServiceTransplantation medicine (liver allograft Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - plasma, liquid chromatography mass spectrometry (LC-MS) 0575U Transplantation medicine (liver allograft Prior Authorization Required Genetic Testing Submit online review with Carelon at rejection), miRNA gene expression www.providerportal.com. For Prior profiling by RT-PCR of 4 genes (miR-122, 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.