Does 0377U require prior authorization?

No, 0377U does not require prior authorization (high confidence). Code is covered without prior authorization.

`0377U`

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

No specific documentation requirements (e.g., mandatory clinical findings, test results, or prior authorization criteria) are specified in this policy for the above-listed tests; coverage determination should reference the member-specific benefit plan document.
Advanced lipoprotein analysis must be performed in accordance with Clinical Laboratory Improvement Amendments (CLIA) quality standards (as noted in the FDA/Regulatory section).
Providers should follow member-specific benefit plan terms and applicable federal/state mandates; UnitedHealthcare instructs to check the member specific benefit plan document because plan terms govern coverage decisions.
Where applicable, FDA device clearances (e.g., EndoPAT 2000, SphygmoCor systems) are discussed for informational purposes only and do not constitute coverage or change documentation requirements; the policy states the EndoPAT 2000 is not intended as a screening test in the general patient population.

Beneficiary is being actively managed for bladder cancer.
Use of EndoPredict or MammaPrint for breast cancer with 1–3 positive lymph nodes.
Member has a diagnosis of ovarian cancer and is being considered for PARP inhibitor therapy.
Prognostic genetic/algorithmic testing for stage I cutaneous melanoma to assess risk of recurrence.
Adjuvant platinum-containing chemotherapy is being considered for the patient.
Proteogenomic testing (combined DNA with RNA and/or protein analysis) for diagnostic and prognostic evaluation in various cancers and to identify potential treatment options and possible treatment resistance.

AMBETTER-CG-Onc-Algo-2025.1 — Concert Genetic Oncology: Algorithmic Testing

REGENCE-LAB77 — Investigational Gene Expression, Biomarker, and Multianalyte Testing

UHC-POL-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests

UMR-POL-UMR-cardiovascular-disease-risk-tests — Cardiovascular Disease Risk Tests

SUREST-POL-SUREST-cardiovascular-disease-risk-tests

Ask Verity about documentation requirements, denial risks, or coverage in your state.