Prior Auth Required

81439 - Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - sequence analysis panel, must include sequencing of at least 6 genes, including MAX, SDHB, SDHC, SDHD, TMEM127, and VHL 81439 Hereditary cardiomyopathy (eg, hypertrophic cardiomyopathy, dilated cardiomyopathy, arrhythmogenic right ventricular cardiomyopathy), genomic sequence analysis panel, must include sequencing of at least 5 cardiomyopathy-related

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.