Prior Auth Required

81201 - APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP]

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceAPC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP]
Procedure / Service Description

E285A, Y231X) - 81200 ASPA (aspartoacylase) (eg, Canavan disease) gene analysis, common variants (eg, E285A, Y231X) 81201 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence 81202 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP],

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.