Prior Auth Required

88377 - Cytogenetics / In situ hybridization , , , , All

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceCytogenetics / In situ hybridization , , , , All
Procedure / Service Description

Service Category Benefit/Description Codes Requiring Authorization Member Program* - Acetylcholinesterase 82013 All Chromosome analysis 88245, 88248, 88249, 88267, 88269, 88280, 88283, 88285, 88289 All Cytogenetics / In situ hybridization 88271–88275, 88364–88369, 88373–88374, 88377, 88299 All Genomic Sequencing (GSP) 81410–81471 (incl. 81410, 81411, 81412, 81415–81417, 81425–81427, 81430–81431, 81432, 81434–81437, 81440–81442, All 81445, 81448–81451, 81455–81456, 81459–81460, 81463, 81465, 81470–81471)

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.