Prior Auth Required

0115U - Respiratory infectious agent detection by nucleic acid (DNA/RNA), 18 viral types & subtypes, 2 bacterial targets All

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceRespiratory infectious agent detection by nucleic acid (DNA/RNA), 18 viral types & subtypes, 2 bacterial targets All
Procedure / Service Description

Domain Imaging (SFDI) - Prescription drug monitoring, one or more oral oncology drugs 0110U All Gastroenterology (Barrett’s esophagus) VIM & CCNA1 methylation analysis 0114U All Respiratory infectious agent detection by nucleic acid (DNA/RNA), 18 viral types & subtypes, 2 bacterial targets 0115U All Prescription drug monitoring, enzyme immunoassay of 25+ drugs with LC-MS/MS confirmation 0116U All Pain management, analysis of 11 endogenous analytes with LC-MS/MS, urine (pain-index score) 0117U 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.