Prior Auth Required

0051U - RX MNTR LC-MS/MS UR 31 PNL All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceRX MNTR LC-MS/MS UR 31 PNL All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Near-infrared dual imaging of meibomian glands 0507T All Pulse-echo ultrasound bone density measurement, tibia 76999 All RX MNTR LC-MS/MS UR 31 PNL 0051U All VAP Cholesterol Test 0052U All AssuranceRX Micro Serum RX MNTR TRNSPL 96 DNA Seq 0054U 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.