Prior Auth Required

81167 - Genetic Testing BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 69 - detection of large gene rearrangements) Genetic Testing 81167 BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie,

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.