Prior Auth Required

81416 - Exome (eg, unexplained constitutional or Prior Authorization Required Genetic Testing Submit online review with Carelon at

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceExome (eg, unexplained constitutional or Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

analysis Authorization: History and Physical, - results of previous diagnostics procedure report. 81416 Exome (eg, unexplained constitutional or Prior Authorization Required Genetic Testing Submit online review with Carelon at heritable disorder or syndrome); sequence www.providerportal.com. For Prior analysis, each comparator exome (eg, 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.