Prior Auth Required

0266U - Unexplained constitutional or other Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceUnexplained constitutional or other Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

mitochondrial DNA sequence analysis, Authorization: History and Physical, - nucleotide and copy number variants 0266U Unexplained constitutional or other Prior Authorization Required Genetic Testing Submit online review with Carelon at heritable disorders or syndromes, tissue- www.providerportal.com. For Prior specific gene expression by whole- 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.