Prior Auth Required

81417 - 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.

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

parents, siblings) (List separately in results of previous diagnostics procedure - addition to code for primary procedure) report. 81417 Exome (eg, unexplained constitutional or Prior Authorization Required Genetic Testing Submit online review with Carelon at heritable disorder or syndrome); re- www.providerportal.com. For Prior evaluation of previously obtained exome 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.