Prior Auth Required

81203 - 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) - 81202 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants 81203 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; duplication/deletion variants 81204 AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X

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.