Prior Auth Required

81201 - Genetic Testing APC (adenomatous polyposis coli) (eg, familial adenomatosis

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing APC (adenomatous polyposis coli) (eg, familial adenomatosis
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 71 - common variants (eg, E285A, Y231X) Genetic Testing 81201 APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; full gene sequence

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.