Prior Auth Required

81294 - MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceMLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81293 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non- polyposis colorectal cancer, Lynch syndrome) gene analysis; known familial variants 81294 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non- polyposis colorectal cancer, Lynch syndrome) gene analysis; duplication/deletion variants

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.