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81223 - 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

Genetic and Molecular Testing Medical Necessity Guideline - 81222 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; duplication/deletion variants 81223 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; full gene sequence 81224 CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene

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.