Prior Auth Required

81350 - UGT1A1 (UDP glucuronosyltransferase 1 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 / ServiceUGT1A1 (UDP glucuronosyltransferase 1 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

interrogation of genomic regions for copy Authorization: History and Physical, - variants, low-pass sequencing analysis report. 81350 UGT1A1 (UDP glucuronosyltransferase 1 Prior Authorization Required Genetic Testing Submit online review with Carelon at family, polypeptide A1) (eg, drug www.providerportal.com. For Prior metabolism, hereditary unconjugated 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.