Prior Auth Required

81287 - MGMT (o-6-methylguanine-dna 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 / ServiceMGMT (o-6-methylguanine-dna Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - medical service or supply. Code Description Plan Review Requirement Reviewed For Records Request 81287 MGMT (o-6-methylguanine-dna Prior Authorization Required Genetic Testing Submit online review with Carelon at methyltransferase) (eg, glioblastoma www.providerportal.com. WA PLAN multiforme) promoter methylation analysis 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.