Prior Auth Required

81228 - Cytogenomic constitutional (genome-wide) 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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Procedure / ServiceCytogenomic constitutional (genome-wide) Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

metabolism), gene analysis, common Authorization: History and Physical, - variants (eg, *2, *3, *5, *6) results of previous diagnostics procedure report. 81228 Cytogenomic constitutional (genome-wide) Prior Authorization Required Genetic Testing Submit online review with Carelon at microarray analysis; interrogation of www.providerportal.com. For Prior genomic regions for copy number variants 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.