Prior Auth Required

81235 - common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Servicecommon variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - 81234 abnormal (expanded) alleles EGFR (epidermal growth factor receptor) (eg, non-small cell lung cancer) gene analysis, 81235 common variants (eg, exon 19 LREA deletion, L858R, T790M, G719A, G719S, L861Q) EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg, myelodysplastic 81236 syndrome, myeloproliferative neoplasms) gene analysis, full gene sequence

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.