Prior Auth Required

0134U - or investigational and found to be medically necessary in the treatment/management of 81110; 81111; 81112; 81120; 81121; 81161; 81162; 81163; 81164; 81165; 81166;

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / Serviceor investigational and found to be medically necessary in the treatment/management of 81110; 81111; 81112; 81120; 81121; 81161; 81162; 81163; 81164; 81165; 81166;
Procedure / Service Description

Prior Authorization List - Genetic Testing Benefits are available for genetic testing and genetic counseling if it is not experimental 0004M; 0006M; 0007M; 0008M; 0009M; 0129U; 0130U; 0131U; 0132U; 0133U; 0134U; 0135U; 0136U; 0137U; 0138U; 81105; 81106; 81107; 81108; 81109; or investigational and found to be medically necessary in the treatment/management of 81110; 81111; 81112; 81120; 81121; 81161; 81162; 81163; 81164; 81165; 81166; a medical condition. 81167; 81170; 81171; 81172; 81173; 81174; 81175; 81176; 81177; 81178; 81179;

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.