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This document is a request form for the THEROS CancerTYPE ID test, including instructions for physicians on how to fill it out, contact information for Lab21, and requirements for patient sample submissions.
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How to fill out formros cancertype id test
How to fill out THEROS CancerTYPE ID Test Request Form
01
Begin by entering the patient's personal information, including their name, date of birth, and contact details.
02
Provide the referring physician's information, including their name, contact number, and address.
03
Indicate the type of cancer testing required by selecting the relevant options on the form.
04
Fill in any additional clinical information that may be relevant for the testing.
05
Confirm the insurance information and provide details if applicable.
06
Sign and date the form where required to validate the request.
07
Submit the completed form along with any necessary samples to the designated testing laboratory.
Who needs THEROS CancerTYPE ID Test Request Form?
01
Patients with suspected or diagnosed cancer who need to determine the type of cancer for better treatment options.
02
Oncologists and healthcare providers seeking to assess tumor types and make informed treatment decisions.
03
Individuals undergoing personalized medicine therapies that rely on molecular testing.
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People Also Ask about
What is CPT code 81540?
CPT code: 81540- Oncology (tumor of unknown origin) mRNA gene expression of 92 genes.
What is the primary procedure code for G2212?
HCPCS code G2212 for Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or
What is the CPT code for cancer type ID?
CPT Code(s)* 81540 for CancerTYPE ID.
What is the CPT code 88360 used for?
CPT codes 88360 (morphometric analysis, tumor [eg,Her-2/neu, estrogen receptor/progesterone receptor], quantitative or semi-quantitative, each antibody; manual) and 88361 (using computer-assisted technology) cannot be billed with code 88342 (immunohistochemistry or immunocytochemistry, per specimen; initial single
What is a cancer ID test?
CancerTYPE ID is a gene expression assay that helps physicians achieve a definitive diagnosis for metastatic patients when the tumor's origin is uncertain. The test provides increased clarity by helping resolve the following diagnostic dilemmas that impact treatment decisions: Unclear/differential diagnoses.
What is the CPT code for CancerTYPE ID?
CPT Code(s)* 81540 for CancerTYPE ID.
What is CancerTYPE ID in NeoGenomics?
CancerTYPE ID followed by NeoTYPE Cancer Profile provides molecular classification of unknown or unclear tumor types and profiling for actionable biomarkers most relevant in the tumor type identified. CD31 is a transmembrane glycoprotein shared by vascular lining cells, megakaryocytes and platelets.
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What is THEROS CancerTYPE ID Test Request Form?
The THEROS CancerTYPE ID Test Request Form is a document used to request a specific cancer gene expression test that helps identify the type of cancer and its potential treatment options.
Who is required to file THEROS CancerTYPE ID Test Request Form?
Healthcare providers, including physicians and oncologists, are required to file the THEROS CancerTYPE ID Test Request Form on behalf of their patients who need the cancer typing test.
How to fill out THEROS CancerTYPE ID Test Request Form?
To fill out the THEROS CancerTYPE ID Test Request Form, the healthcare provider should enter patient information, clinical history, the specimens being submitted, and select the specific tests requested as indicated in the form instructions.
What is the purpose of THEROS CancerTYPE ID Test Request Form?
The purpose of the THEROS CancerTYPE ID Test Request Form is to ensure proper identification and processing of the samples submitted for testing to provide accurate cancer typing and therapeutic guidance.
What information must be reported on THEROS CancerTYPE ID Test Request Form?
The form must report patient demographics, clinical information, specimen details, the type of cancer suspected, and any relevant previous test results that could inform the analysis.
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