Prior Auth Required

81448 - Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceHereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia)
Procedure / Service Description

GATA2, MPL, NHP2, NOP10, PALB2, RAD51C, RPL11, RPL35A, RPL5, RPS10, - for sequence variants and copy number variants or rearrangements, if performed; DNA analysis or combined DNA and RNA analysis 81448 Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, MPZ, REEP1, SPAST, SPG11,

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.