Prior Auth Required

81245 - FLT3 (fms-related tyrosine kinase 3) (eg, 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 / ServiceFLT3 (fms-related tyrosine kinase 3) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

syndrome, X-linked intellectual disability Authorization: History and Physical, - alleles (eg, expanded size and promoter report. methylation status) 81245 FLT3 (fms-related tyrosine kinase 3) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at acute myeloid leukemia), gene analysis; www.providerportal.com. WA PLAN internal tandem duplication (ITD) variants 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.