Prior Auth Required

0173U - Psychiatry (ie, depression, anxiety), 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 / ServicePsychiatry (ie, depression, anxiety), Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

(BRCA1, DNA repair associated), BRCA2 MEMBERS ONLY: No prior authorization - quantifying tumor genomic instability score Carelon. 0173U Psychiatry (ie, depression, anxiety), Prior Authorization Required Genetic Testing Submit online review with Carelon at genomic analysis panel, includes variant www.providerportal.com. For Prior analysis of 14 genes 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.