Prior Auth Required

81417 - Genetic Testing Exome (eg, unexplained constitutinoal or heritable disorder or

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing Exome (eg, unexplained constitutinoal or heritable disorder or
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 85 - Genetic Testing 81417 Exome (eg, unexplained constitutinoal or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence

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.