Prior Auth Required

81171 - AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceAFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81170 ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain 81171 AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles

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.