Prior Auth Required

0214U - Rare diseases (constitutional/heritable 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 / ServiceRare diseases (constitutional/heritable Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

mitochondrial DNA sequence analysis, Authorization: History and Physical, - genetic variants, each comparator genome (eg, parent, sibling) 0214U Rare diseases (constitutional/heritable Prior Authorization Required Genetic Testing Submit online review with Carelon at disorders), whole exome and mitochondrial www.providerportal.com. For Prior DNA sequence analysis, including small 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.