Prior Auth Required

81220 - variants (eg, ACMG/ACOG guidelines)

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicevariants (eg, ACMG/ACOG guidelines)
Procedure / Service Description

agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with - 81162 large gene rearrangements) CFTR (cystic fibrosis transmembrane conductance regulator) (eg, cystic fibrosis) gene analysis; common 81220 variants (eg, ACMG/ACOG guidelines) MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, 81292 Lynch syndrome) gene analysis; full sequence analysis

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.