Prior Auth Required

81471 - X-linked intellectual disability (XLID) (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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Prior authorizationPrior Auth Required
Procedure / ServiceX-linked intellectual disability (XLID) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at
Procedure / Service Description

L1CAM, MECP2, MED12, MID1, OCRL, - L1CAM, MECP2, MED12, MID1, OCRL, RPS6KA3, and SLC16A2 81471 X-linked intellectual disability (XLID) (eg, Prior Authorization Required Genetic Testing Submit online review with Carelon at syndromic and non-syndromic XLID); www.providerportal.com. For Prior duplication/deletion gene analysis, must 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.