Prior Auth Required

81424 - Gene Analysis & Molecular Pathology (except ) All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGene Analysis & Molecular Pathology (except ) All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Genetic Testing Genetic Testing – General (all tests) All genetic testing (incl. but not limited to CPT 81161+; categories below) All Gene Analysis & Molecular Pathology 81161–81479 (except 81370–81383) All Chimerism testing (post transplant follow up) 81265, 81267, 81268, 81403, 81450, 88271, 88272, 88273, 88274, 88275, 88364, 88365, 88367, 88368 All Acetylcholinesterase 82013 All

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.