Prior Auth Required

81422 - Fetal chromosomal microdeletion(s) Prior Authorization Required Genetic Testing Submit online review with Carelon at

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Procedure / ServiceFetal chromosomal microdeletion(s) Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

SLC9A6, STXBP1, SYNGAP1, TCF4, - SLC9A6, STXBP1, SYNGAP1, TCF4, TPP1, TSC1, TSC2, and ZEB2 81422 Fetal chromosomal microdeletion(s) Prior Authorization Required Genetic Testing Submit online review with Carelon at genomic sequence analysis (eg, DiGeorge www.providerportal.com. For Prior syndrome, Cri-du-chat syndrome), 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.