Prior Auth Required

0171U - Targeted genomic sequence analysis 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 / ServiceTargeted genomic sequence analysis Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

saliva, algorithmic analysis, and results Authorization: History and Physical, - reported as predictive probability of ASD results of previous diagnostics procedure diagnosis report. 0171U Targeted genomic sequence analysis Prior Authorization Required Genetic Testing Submit online review with Carelon at panel, acute myeloid leukemia, www.providerportal.com. WA PLAN myelodysplastic syndrome, and MEMBERS ONLY: No prior authorization

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.