Prior Auth Required

81176 - sequence analysis (eg, exon 12)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicesequence analysis (eg, exon 12)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; targeted 81176 sequence analysis (eg, exon 12) ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to 81177 detect abnormal (eg, expanded) alleles

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.