Prior Auth Required

81403 - Molecular pathology procedure, Level 4 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 / ServiceMolecular pathology procedure, Level 4 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

or 2-10 somatic variants [typically using MEMBERS ONLY: No prior authorization - [LOH], uniparental disomy [UPD]) Carelon. 81403 Molecular pathology procedure, Level 4 Prior Authorization Required Genetic Testing Submit online review with Carelon at (eg, analysis of single exon by DNA www.providerportal.com. WA PLAN sequence analysis, analysis of >10 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.