Prior Auth Required

81434 - Genetic Testing Hereditary retinal disorders (eg, retinitis pigmentosa, Leber

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing Hereditary retinal disorders (eg, retinitis pigmentosa, Leber
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 86 - BRCA1, BRCA2, MLH1, MSH2, and STK11 Genetic Testing 81434 Hereditary retinal disorders (eg, retinitis pigmentosa, Leber congenital amaurosis, cone-rod dystrophy), genomic 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.