Prior Auth Required

81243 - FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceFMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - gene analysis, common variant (eg, IVS4+4A>T) Genetic and Molecular Testing Medical Necessity Guideline 81243 FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles

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.