Prior Auth Required

81427 - Genome (eg, unexplained constitutional or heritable disorder or syndrome); re

This procedure appears on the selected insurer prior authorization source.

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

sequence analysis, each comparator genome (eg, parents, siblings) (List separately in - sequence analysis, each comparator genome (eg, parents, siblings) (List separately in addition to code for primary procedure) 81427 Genome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained genome 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.