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81440 - Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic

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Procedure / ServiceNuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - sequence analysis panel, must include sequencing of at least 5 cardiomyopathy-related genes (eg, DSG2, MYBPC3, MYH7, PKP2, TTN) 81440 Nuclear encoded mitochondrial genes (eg, neurologic or myopathic phenotypes), genomic sequence panel, must include analysis of at least 100 genes, including BCS1L, C10orf2, COQ2, COX10, DGUOK, MPV17, OPA1, PDSS2, POLG, POLG2, RRM2B,

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
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  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.