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81403 - Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence

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Procedure / ServiceMolecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - immunoglobulin and T-cell receptor gene rearrangements, duplication/deletion variants of 1 exon, loss of heterozygosity [LOH], uniparental disomy [UPD]) 81403 Molecular pathology procedure, Level 4 (eg, analysis of single exon by DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons)

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.