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81460 - Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceWhole mitochondrial genome (eg, Leigh syndrome, mitochondrial
Procedure / Service Description

Genetic and Molecular Testing Medical Necessity Guideline - variants; DNA analysis or combined DNA and RNA analysis, copy number variants, microsatellite instability, tumor mutation burden, and rearrangements 81460 Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [MERFF], neuropathy, ataxia, and retinitis pigmentosa

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.