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.