Prior Auth Required

81426 - Genome (eg, unexplained constitutional or heritable disorder or syndrome)

This procedure appears on the selected insurer prior authorization source.

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

SCN1A, SCN1B, SCN2A, SCN8A, SLC2A1, SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, - 81425 Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis 81426 Genome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure)

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.