Prior Auth Required

81430 - Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome)
Procedure / Service Description

sequence analysis, each comparator genome (eg, parents, siblings) (List separately in - evaluation of previously obtained genome sequence (eg, updated knowledge or unrelated condition/syndrome) 81430 Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); genomic sequence analysis panel, must include sequencing of at least 60 genes, including CDH23, CLRN1, GJB2, GPR98, MTRNR1, MYO7A, MYO15A, PCDH15, OTOF,

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.