Genetic Testing Requirements

Aug 12, 2020 · ICD-10-CM code B18.2 is required on the claim (except with valid TAR) ... Decipher® Prostate – Use CPT code 81542. Prolaris® – Use CPT code 81541. ProMark – Use CPT code 81599 ... 50 percent and no more than on NCCN intermediate-risk factor) Discordant features in their risk stratification (e.g., palpable mass with Grade Group 1) ................
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