Prior Auth Required

81415 - Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceExome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis
Procedure / Service Description

dosage/deletion analysis (eg, carrier testing), includes SMN2 (survival of motor neuron 2, - catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis 81414 panel, must include analysis of at least 2 genes, including KCNH2 and KCNQ1 81415 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary

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.