Prior Auth Required

81161 - DMD (dystrophin) (eg, Duchenne/Becker 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 / ServiceDMD (dystrophin) (eg, Duchenne/Becker Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

common variants (eg, R140W, R172M) MEMBERS ONLY: No prior authorization - Carelon. 81161 DMD (dystrophin) (eg, Duchenne/Becker Prior Authorization Required Genetic Testing Submit online review with Carelon at muscular dystrophy) deletion analysis, and www.providerportal.com. For Prior duplication analysis, if performed 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.