Prior Auth Required

81361 - hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)

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Procedure / Servicehemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE)
Procedure / Service Description

dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, - 81360 E65fs, E122fs, R448fs) HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, 81361 hemoglobinopathy); common variant(s) (eg, HbS, HbC, HbE) HBB (hemoglobin, subunit beta) (eg, sickle cell anemia, beta thalassemia, 81362 hemoglobinopathy); known familial variant(s)

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.