Prior Auth Required

0426U - Genome (eg, unexplained constitutional or heritable disorder or

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGenome (eg, unexplained constitutional or heritable disorder or
Procedure / Service Description

Genetic Testing (eg, parents, siblings) - Genetic Testing (eg, parents, siblings) 0426U Genome (eg, unexplained constitutional or heritable disorder or Genetic Testing syndrome), ultra-rapid sequence analysis

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.