Prior Auth Required

81434 - Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis
Procedure / Service Description

sequence analysis, each comparator genome (eg, parents, siblings) (List separately in - ovarian cancer, hereditary endometrial cancer); duplication/deletion analysis panel, must include analyses for BRCA1, BRCA2, MLH1, MSH2, and STK11 81434 Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic sequence analysis panel, must include sequencing of Genetic and Molecular Testing Medical Necessity Guideline

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.