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.