Prior Auth Required

81321 - PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma

This procedure appears on the selected insurer prior authorization source.

Check another codeExplore policy data
Prior authorizationPrior Auth Required
Procedure / ServicePTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - 81320 PLCG2 (phospholipase C gamma 2) (eg, chronic lymphocytic leukemia) gene analysis, common variants (eg, R665W, S707F, L845F) 81321 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis 81322 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma

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.