Prior Auth Required

86911 - Blood typing, for paternity testing, per Non-covered Service Benefit Exception Considered non-covered unless

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceBlood typing, for paternity testing, per Non-covered Service Benefit Exception Considered non-covered unless
Procedure / Service Description

Code Description Plan Review Requirement Reviewed For Records Request - 86910 Blood typing, for paternity testing, per Non-covered Service Benefit Exception Considered non-covered unless individual; ABO, Rh and MN member's contract indicates coverage. 86911 Blood typing, for paternity testing, per Non-covered Service Benefit Exception Considered non-covered unless individual; each additional antigen system member's contract indicates coverage.

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.