Prior Auth Required

81215 - Genetic Testing BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGenetic Testing BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 72 - analysis; 185delAG, 5385insC, 6174delT variants Genetic Testing 81215 BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; known familial variant

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.