Prior Auth Required

81448 - MPZ, REEP1, SPAST, SPG11, SPTLC1)

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceMPZ, REEP1, SPAST, SPG11, SPTLC1)
Procedure / Service Description

Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 - Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy-related genes (eg, BSCL2, GJB1, MFN2, 81448 MPZ, REEP1, SPAST, SPG11, SPTLC1) Hematolymphoid neoplasm or disorder, genomic sequence analysis panel, 5-50 genes, interrogation for sequence variants, and copy number variants or rearrangements, or isoform expression or mRNA expression

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.