Prior Auth Required

81287 - MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme)

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Procedure / ServiceMGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme)
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - expanded size) 81286 FXN (frataxin) (eg, Friedreich ataxia) gene analysis; full gene sequence 81287 MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis 81288 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-

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.