Prior Auth Required

81465 - performed

This procedure appears on the selected insurer prior authorization source.

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Procedure / Serviceperformed
Procedure / Service Description

Genetic testing for severe inherited conditions (eg, cystic fibrosis, Ashkenazi Jewish- - Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if 81465 performed X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX,

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.