Prior Auth Required

81471 - 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

Genetic and Molecular Testing Medical Necessity Guideline - MECP2, MED12, MID1, OCRL, RPS6KA3, and SLC16A2 Genetic and Molecular Testing Medical Necessity Guideline 81471 X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis 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.