Prior Auth Required

81538 - Oncology (lung), mass spectrometric 8- Possible Denial; Medical Records Investigative Documentation optional

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceOncology (lung), mass spectrometric 8- Possible Denial; Medical Records Investigative Documentation optional
Procedure / Service Description

PCR of 31 genes (28 content and 3 MEMBERS ONLY: No prior authorization - metastasis Carelon. 81538 Oncology (lung), mass spectrometric 8- Possible Denial; Medical Records Investigative Documentation optional. protein signature, including amyloid A, Optional utilizing serum, prognostic and predictive

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.