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81460 - sequence analysis of entire mitochondrial genome with heteroplasmy detection

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicesequence analysis of entire mitochondrial genome with heteroplasmy detection
Procedure / Service Description

Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 - stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [MERFF], neuropathy, ataxia, and retinitis pigmentosa [NARP], Leber hereditary optic neuropathy [LHON]), genomic sequence, must include 81460 sequence analysis of entire mitochondrial genome with heteroplasmy detection Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive 81465 external ophthalmoplegia), including heteroplasmy detection, if performed

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.