Prior Auth Required

0171U - Genetic Testing Targeted genomic sequence analysis panel, acute myeloid

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing Targeted genomic sequence analysis panel, acute myeloid
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 109 - Genetic Testing 0171U Targeted genomic sequence analysis panel, acute myeloid leukemia, myelodysplastic syndrome, and myeloproliferative

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.