Prior Auth Required

81355 - VKORC1 (vitamin K epoxide reductase 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 / ServiceVKORC1 (vitamin K epoxide reductase Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

constitutional chromosomal abnormalities; documentation of medical necessity. - variants, optical genome mapping (OGM) 81355 VKORC1 (vitamin K epoxide reductase Prior Authorization Required Genetic Testing Submit online review with Carelon at complex, subunit 1) (e.g., warfarin www.providerportal.com. For Prior metabolism), gene analysis, common 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.