Prior Auth Required

81470 - X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceX-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID)
Procedure / Service Description

RNA analysis, copy number variants, microsatellite instability, tumor mutation - syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed 81470 X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); genomic sequence analysis panel, must include sequencing of at least 60 genes, including ARX, ATRX, CDKL5, FGD1, FMR1, HUWE1, IL1RAPL, KDM5C, L1CAM,

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.