Prior Auth Required
81455 - Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceSolid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic
Procedure / Service Description
Genetic and Molecular Testing Medical Necessity Guideline - rearrangements, or isoform expression or mRNA expression levels, if performed; RNA analysis 81455 Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if
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.