Prior Auth Required

81405 - Molecular pathology procedure, Level 6 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 6 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 81405 Molecular pathology procedure, Level 6 Prior Authorization Required Genetic Testing Submit online review with Carelon at (eg, analysis of 6-10 exons by DNA www.providerportal.com. For Prior sequence analysis, mutation scanning or 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.