Prior Auth Required

0138U - Genetic Testing BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair
Procedure / Service Description

cancer), targeted mRNA sequence analysis panel (12 genes) (List - cancer) mRNA sequence analysis Genetic Testing 0138U BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) mRNA

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.