Prior Auth Required
81162 - Genetic Testing (BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and
This procedure appears on the selected insurer prior authorization source.
Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing (BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and
Procedure / Service Description
Mountain Health Co-Op, Services Requiring Prior Authorization 68 - deletion analysis, and duplication analysis, if performed Genetic Testing 81162 (BRCA1, BRCA2 (breast cancer 1 and 2) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full
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.