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| Short Descr | ONC OVRN BCHM ASY 7 PRTN ALG | Medium Descr | ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR | Long Descr | Oncology (ovarian), biochemical assays of 7 proteins (follicle stimulating hormone, human epididymis protein 4, apolipoprotein A-1, transferrin, beta-2 macroglobulin, prealbumin [ie, transthyretin], and cancer antigen 125), algorithm reported as ovarian cancer risk score | CLIA Waived (QW) | No | APC Status Indicator | Service Paid under Fee Schedule or Payment System other than OPPS | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
| GL | Medically unnecessary upgrade provided instead of non-upgraded item, no charge, no advance beneficiary notice (abn) |
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| 2024-01-01 | Added | First appearance in codebook. |
| 2023-04-01 | Added | Code added. |
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