Prior Auth Required

0138U - BRCA1 (BRCA1, DNA repair associated), 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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Prior authorizationPrior Auth Required
Procedure / ServiceBRCA1 (BRCA1, DNA repair associated), Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

sequence analysis (List separately in Authorization: History and Physical, - addition to code for primary procedure) results of previous diagnostics procedure report. 0138U BRCA1 (BRCA1, DNA repair associated), Prior Authorization Required Genetic Testing Submit online review with Carelon at BRCA2 (BRCA2, DNA repair associated) www.providerportal.com. For Prior (eg, hereditary breast and ovarian cancer) 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.