Prior Auth Required

81417 - Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceExome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously
Procedure / Service Description

comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) - 81416 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (eg, parents, siblings) (List separately in addition to code for primary procedure) 81417 Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome) 89250 Culture of oocyte(s)/embryo(s), less than 4 days;

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.