Prior Auth Required

81243 - Genetic Testing Fmr1 (Fragile X Mental Retardation 1) (Eg, Fragile X Mental

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGenetic Testing Fmr1 (Fragile X Mental Retardation 1) (Eg, Fragile X Mental
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 74 - Genetic Testing 81243 Fmr1 (Fragile X Mental Retardation 1) (Eg, Fragile X Mental Retardation) Gene Analysis; Evaluation To Detect Abnormal (Eg,

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.