Prior Auth Required

81229 - variants, comparative genomic hybridization (CGH) microarray analysis

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicevariants, comparative genomic hybridization (CGH) microarray analysis
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) 81229 variants, comparative genomic hybridization (CGH) microarray analysis CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg, drug metabolism), gene 81230 analysis, common variant(s) (eg, *2, *22)

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.