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81404 - Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence

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Procedure / ServiceMolecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - analysis, analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions, mutation scanning or duplication/deletion variants of 2-5 exons) 81404 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 6-10 exons, or characterization of a dynamic mutation disorder/triplet repeat by Southern blot

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.