Prior Auth Required

81450 - levels, if performed; DNA analysis or combined DNA and RNA analysis

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicelevels, if performed; DNA analysis or combined DNA and RNA analysis
Procedure / Service Description

Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 - 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 81450 levels, if performed; DNA analysis or combined DNA and RNA analysis Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or

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.