Prior Auth Required

81294 - Genetic Testing MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg

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Procedure / ServiceGenetic Testing MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 77 - analysis; known familial variants Genetic Testing 81294 MLH1 (mutL homolog 1, colon cancer, nonpolyposis type 2) (eg, hereditary non-polyposis colorectal cancer, Lynch syndrome) gene

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.