Prior Auth Required

81220 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene
Procedure / Service Description

E285A, Y231X) - 81219 CALR (calreticulin) (eg, myeloproliferative disorders), gene analysis, common variants in exon 9 81220 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common variants (eg, ACMG/ACOG guidelines) Genetic and Molecular Testing Medical Necessity Guideline

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.