Prior Auth Required

0054U - AssuranceRX Micro Serum RX MNTR TRNSPL 96 DNA Seq All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAssuranceRX Micro Serum RX MNTR TRNSPL 96 DNA Seq All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - 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 myTAIHEART CARD HRT TRNSPL 95 DNA Seq 0055U All Merkel SmT Oncoprotein Antibody Titer ONC MERKEL CLL CARC SRM 0058U 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.