Prior Auth Required

81201 - APC (adenomatous polyposis coli) (eg, 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 / ServiceAPC (adenomatous polyposis coli) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

(eg, E285A, Y231X) Authorization: History and Physical, - results of previous diagnostics procedure report. 81201 APC (adenomatous polyposis coli) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at familial adenomatosis polyposis [FAP], www.providerportal.com. For Prior attenuated FAP) gene analysis; full gene 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.