Prior Auth Required

81440 - Nuclear encoded mitochondrial genes (eg, 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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Procedure / ServiceNuclear encoded mitochondrial genes (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

arrhythmogenic right ventricular Authorization: History and Physical, - MYBPC3, MYH7, PKP2, and TTN 81440 Nuclear encoded mitochondrial genes (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at neurologic or myopathic phenotypes), www.providerportal.com. For Prior genomic sequence panel, must include 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.