Prior Auth Required

81161 - DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81121 IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M) 81161 DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed 81168 CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major

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.