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81406 - variants in the RPE65 gene. ( MOLECULAR PATHOLOGY

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Procedure / Servicevariants in the RPE65 gene. ( MOLECULAR PATHOLOGY
Procedure / Service Description

 Genetic testing is required to detect the presence of pathogenic(s) - has been proposed as a treatment to improve visual function.  Genetic testing is required to detect the presence of pathogenic(s) variants in the RPE65 gene. (81406 MOLECULAR PATHOLOGY PROCEDURE LEVEL 7)  Policy statements:

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  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.