Prior Auth Required

81418 - Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceDrug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must
Procedure / Service Description

analysis, each comparator exome (eg, parents, siblings) (List separately in addition to - evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) 81418 Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 genes, including CYP2C19, CYP2D6, and CYP2D6 duplication/deletion analysis

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.