Does 88399 require prior authorization?

No, 88399 does not require prior authorization (low confidence). No active coverage policies found for this code.

What is the Medicare reimbursement rate for 88399?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

No active coverage policies found for this code (low confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Use of the ArteraAI Prostate cancer risk stratification test is consideredmedically necessaryto inform shared decision-making regarding treatment options whenALLof the following are met:
Individual has localized, nonmetastatic prostate cancer;and
The prostate cancer is classified as low- or intermediate-risk of metastasis;and
Prior to biopsy, the individual did not receive radiation therapy to the prostate or androgen deprivation therapy.
Pathological analysis of intra-epidermal nerve fiber density for the diagnosis of small-fiber neuropathy is consideredmedically necessarywhenbothof the following conditions are met:
Individual presents with painful sensory neuropathy;and

ANTHEM-LAB.00026 — LAB.00026 Systems Pathology and Multimodal Artificial Intelligence Testing for Cancerous and Precancerous Conditions

ANTHEM-LAB.00049 — LAB.00049 Artificial Intelligence-Based Software for Prostate Cancer Detection

ANTHEM-CG-LAB-13 — CG-LAB-13 Skin Nerve Fiber Density Testing

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