Prior Auth Required
0164U - Gastroenterology (IBS) immunoassay for anti-CdtB and anti-vinculin antibodies All
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceGastroenterology (IBS) immunoassay for anti-CdtB and anti-vinculin antibodies All
Procedure / Service Description
Domain Imaging (SFDI) - Oncology (colorectal) screening, ELISA of 3 plasma/serum proteins with algorithm (CRC or advanced adenomas 0163U All likelihood) Gastroenterology (IBS) immunoassay for anti-CdtB and anti-vinculin antibodies 0164U All Peanut allergen-specific IgE (64 epitopes) quantitative ELISA 0165U All Liver disease, 10 biochemical assays (α2-macroglobulin, haptoglobin, apolipoprotein A1, bilirubin, GGT, ALT, 0166U 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.