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81435 - Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome

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Procedure / ServiceHereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - at least 15 genes, including ABCA4, CNGA1, CRB1, EYS, PDE6A, PDE6B, PRPF31, PRPH2, RDH12, RHO, RP1, RP2, RPE65, RPGR, and USH2A 81435 Hereditary colon cancer disorders (eg, Lynch syndrome, PTEN hamartoma syndrome, Cowden syndrome, familial adenomatosis polyposis); genomic sequence analysis panel, must include sequencing of at least 10 genes, including APC, BMPR1A, CDH1,

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.