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81350 - UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug

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Procedure / ServiceUGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis 81350 UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common variants (eg, *28, *36, *37)

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.