Prior Auth Required
0266U - splicing or expression changes
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Servicesplicing or expression changes
Procedure / Service Description
Unexplained constitutional or other heritable disorders or syndromes, tissue-specific gene - expression by whole-transcriptome and next-generation sequencing, blood, formalin-fixed paraffin-embedded (FFPE) tissue or fresh frozen tissue, reported as presence or absence of 0266U splicing or expression changes Implantation or replacement of carotid sinus baroreflex activation device; lead only, unilateral 0267T (includes intra-operative interrogation, programming, and repositioning, when performed)
Likely documents
- Confirm benefit details
- Submit clinical notes if requested by the plan
Next actions
- Confirm the current plan policy before submission.
- Use the insurer authorization workflow for this listed code.