Prior Auth Required

81166 - 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.

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

gene analysis; full sequence analysis MEMBERS ONLY: No prior authorization - Carelon. 81166 BRCA1 (BRCA1, DNA repair associated) Prior Authorization Required Genetic Testing Submit online review with Carelon at (eg, hereditary breast and ovarian cancer) www.providerportal.com. WA PLAN gene analysis; full duplication/deletion 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.