Prior Auth Required

81417 - Exome (eg, unexplained constitutional or heritable disorder or syndrome); re

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceExome (eg, unexplained constitutional or heritable disorder or syndrome); re
Procedure / Service Description

analysis, each comparator exome (eg, parents, siblings) (List separately in addition to - analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) 81417 Exome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)

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.