Prior Auth Required
0102U - Hereditary breast cancer related panel (17 genes) All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceHereditary breast cancer related panel (17 genes) All
Procedure / Service Description
Service Category Benefit/Description Codes Requiring Authorization Member Program* - EoE biomarker ELISA (eotaxin 3, PRG2) with algorithm 0095U All Hereditary colon cancer panel with mRNA analytics (15+ genes) 0101U All Hereditary breast cancer related panel (17 genes) 0102U All Hereditary ovarian cancer panel (24 genes) 0103U All Ceramides LC MS/MS with risk score for MACE 0119U 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.