Prior Auth Required

81171 - AFF2 (ALF transcription elongation factor 2 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 / ServiceAFF2 (ALF transcription elongation factor 2 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

imatinib tyrosine kinase inhibitor MEMBERS ONLY: No prior authorization - Carelon. 81171 AFF2 (ALF transcription elongation factor 2 Prior Authorization Required Genetic Testing Submit online review with Carelon at (FMR2) (EF, Fragile X intellectual disability www.providerportal.com. For Prior 2 (FRAXE) gene analysis; evaluation to 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.