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81257 - Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)

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Procedure / ServiceThai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring)
Procedure / Service Description

for attenuation correction and anatomical localization imaging; limited area (eg, chest, - HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; common deletions or variant (eg, Southeast Asian, 81257 Thai, Filipino, Mediterranean, alpha3.7, alpha4.2, alpha20.5, Constant Spring) HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis 81258 syndrome, HbH disease), gene analysis; known familial variant

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.