Prior Auth Required

81291 - MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceMTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81290 MCOLN1 (mucolipin 1) (eg, Mucolipidosis, type IV) gene analysis, common variants (eg, IVS3-2A>G, del6.4kb) 81291 MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C) 81292 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.