Prior Auth Required

81411 - Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler

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Procedure / ServiceAortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - panel, must include sequencing of at least 9 genes, including FBN1, TGFBR1, TGFBR2, COL3A1, MYH11, ACTA2, SLC2A10, SMAD3, and MYLK 81411 Aortic dysfunction or dilation (eg, Marfan syndrome, Loeys Dietz syndrome, Ehler Danlos syndrome type IV, arterial tortuosity syndrome); duplication/deletion analysis panel, must include analyses for TGFBR1, TGFBR2, MYH11, and COL3A1

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.