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.