Prior Auth Required

81408 - 81415 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis

This procedure appears on the selected insurer prior authorization source.

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Procedure / Service81415 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis
Procedure / Service Description

agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT) with - Molecular pathology procedure, Level 9 (eg, analysis of >50 exons in a single gene by DNA sequence analysis) 81408 81415 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6

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.