Prior Auth Required
81465 - external ophthalmoplegia), including heteroplasmy detection, if performed
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / Serviceexternal ophthalmoplegia), including heteroplasmy detection, if performed
Procedure / Service Description
Drug metabolism (eg, pharmacogenomics) genomic sequence analysis panel, must include testing of at least 6 - 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 Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed 81519 paraffin embedded tissue, algorithm reported as recurrence score
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.