Prior Auth Required

81163 - BRCA1 (BRCA1, DNA repair associated), 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 / ServiceBRCA1 (BRCA1, DNA repair associated), Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

(eg, hereditary breast and ovarian cancer) MEMBERS ONLY: No prior authorization - Carelon. 81163 BRCA1 (BRCA1, DNA repair associated), Prior Authorization Required Genetic Testing Submit online review with Carelon at BRCA2 (BRCA2, DNA repair associated) www.providerportal.com. WA PLAN (eg, hereditary breast and ovarian cancer) 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.