Prior Auth Required

0002U - PolypDx All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePolypDx All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Lyme ImmunoBlot IgM and IgG by IGeneX Inc. 0041U, 0042U All Tick-borne Relapsing Fever (TBRF) Borrelia ImmunoBlots IgM & IgG Test 0043U, 0044U All PolypDx 0002U All Overa (OVA1 Next Generation) 0003U All Macular pigment optical density measurement by heterochromatic flicker photometer (HFP) 0506T All

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.