Prior Auth Required

81323 - PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma

This procedure appears on the selected insurer prior authorization source.

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 - 81322 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant 81323 PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant 81324 PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary

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.