Prior Auth Required

81177 - ATN1 (atrophin 1) (eg, dentatorubral- 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 / ServiceATN1 (atrophin 1) (eg, dentatorubral- Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

myelodysplastic syndrome, MEMBERS ONLY: No prior authorization - Carelon. 81177 ATN1 (atrophin 1) (eg, dentatorubral- Prior Authorization Required Genetic Testing Submit online review with Carelon at pallidoluysian atrophy) gene analysis, www.providerportal.com. For Prior evaluation to detect abnormal (eg, 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.