Prior Auth Required

81313 - PCA3/KLK3 (prostate cancer antigen 3 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 / ServicePCA3/KLK3 (prostate cancer antigen 3 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 81313 PCA3/KLK3 (prostate cancer antigen 3 Prior Authorization Required Genetic Testing Submit online review with Carelon at [non-protein coding]/kallikrein-related www.providerportal.com. WA PLAN peptidase 3 [prostate specific antigen]) MEMBERS ONLY: No prior authorization

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.