Prior Auth Required

81416 - Genetic Testing Exome (eg, unexplained constitutional or heritable disorder or

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceGenetic Testing Exome (eg, unexplained constitutional or heritable disorder or
Procedure / Service Description

KCNQ1 - syndrome); sequence analysis Genetic Testing 81416 Exome (eg, unexplained constitutional or heritable disorder or syndrome); sequence analysis, each comparator exome (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.