Prior Auth Required
0039U - Anti-dsDNA, high salt/avidity All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceAnti-dsDNA, high salt/avidity All
Procedure / Service Description
Service Category Benefit/Description Codes Requiring Authorization Member Program* - Real-time quaking-induced conversion for prion detection 0035U All Sensivea Droplet 25OH vitamin D2/D3 Microvolume LC/MS Assay by InSource Diagnostics 0038U All Anti-dsDNA, high salt/avidity 0039U All Lyme ImmunoBlot IgM and IgG by IGeneX Inc. 0041U, 0042U All Tick-borne Relapsing Fever (TBRF) Borrelia ImmunoBlots IgM & IgG Test 0043U, 0044U 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.