Prior Auth Required

81235 - EGFR (epidermal growth factor receptor) 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 / ServiceEGFR (epidermal growth factor receptor) Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

to detect abnormal (expanded) alleles Authorization: History and Physical, - results of previous diagnostics procedure report. 81235 EGFR (epidermal growth factor receptor) Prior Authorization Required Genetic Testing Submit online review with Carelon at (eg, non-small cell lung cancer) gene www.providerportal.com. WA PLAN analysis, common variants (eg, exon 19 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.