Prior Auth Required
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.