Prior Auth Required

81404 - Molecular pathology procedure, Level 5 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 / ServiceMolecular pathology procedure, Level 5 Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

sequence analysis, analysis of >10 MEMBERS ONLY: No prior authorization - Carelon. 81404 Molecular pathology procedure, Level 5 Prior Authorization Required Genetic Testing Submit online review with Carelon at (eg, analysis of 2-5 exons by DNA www.providerportal.com. WA PLAN sequence analysis, mutation scanning or 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.