Prior Auth Required

81161 - Genetic Testing DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy)

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy)
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 68 - glioma), common variants (eg, R140W, R172M) Genetic Testing 81161 DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, 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.