Prior Auth Required

0136U - ATM (ataxia telangiectasia mutated) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceATM (ataxia telangiectasia mutated) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

analysis panel (18 genes) (List separately report. - in addition to code for primary procedure) 0136U ATM (ataxia telangiectasia mutated) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at ataxia telangiectasia) mRNA sequence www.providerportal.com. For Prior analysis (List separately in addition to code Authorization: History and Physical,

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.