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81433 - Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary

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Procedure / ServiceHereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary
Procedure / Service Description

sequence analysis, each comparator genome (eg, parents, siblings) (List separately in - must include sequencing of at least 10 genes, always including BRCA1, BRCA2, CDH1, MLH1, MSH2, MSH6, PALB2, PTEN, STK11, and TP53 81433 Hereditary breast cancer-related disorders (eg, hereditary breast cancer, hereditary ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA1, BRCA2, MLH1, MSH2, and STK11

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.