Prior Auth Required

81242 - Analysis, Common Variant (Eg, Ivs4+4A>T)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAnalysis, Common Variant (Eg, Ivs4+4A>T)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - 81241 F5 (Coagulation Factor V) (Eg, Hereditary Hypercoagulability) Gene Analysis, Leiden Variant Fancc (Fanconi Anemia, Complementation Group C) (Eg, Fanconi Anemia, Type C) Gene 81242 Analysis, Common Variant (Eg, Ivs4+4A>T) FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual 81243 disability [XLID]) gene analysis; evaluation to 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.