Prior Auth Required

81431 - Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome)

This procedure appears on the selected insurer prior authorization source.

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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 - including CDH23, CLRN1, GJB2, GPR98, MTRNR1, MYO7A, MYO15A, PCDH15, OTOF, SLC26A4, TMC1, TMPRSS3, USH1C, USH1G, USH2A, and WFS1 81431 Hearing loss (eg, nonsyndromic hearing loss, Usher syndrome, Pendred syndrome); duplication/deletion analysis panel, must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 genes

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.