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HCPCS/CPT 84394 | No Prior Auth

Ask Verity/84394

`84394`

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Key Coverage Criteria

AÎ²42:AÎ²40 ratio;or
AÎ²42: phospho-tau.
Anyof the following tests are used:Total AÎ²42;orAÎ²42:AÎ²40 ratio;orAÎ²42: phospho-tau.
Measurement of long-form amyloid beta is consideredmedically necessarywhen criteria A, B and C are met:
A cerebrospinal fluid test is used;and
Treatment withamyloid beta targeting therapyis being considered;and

1 Active Policy

ANTHEM-LAB.00046 — LAB.00046 Testing for Biochemical Markers for Alzheimerâs Disease

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