Prior Auth Required

81404 - Genetic Testing Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGenetic Testing Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 83 - exons) Genetic Testing 81404 Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA sequence analysis, mutation scanning or duplication/deletion

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.