Prior Auth Required

81203 - The following codes are RENTAL codes and do NOT require a prior authorization

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceThe following codes are RENTAL codes and do NOT require a prior authorization
Procedure / Service Description

The following codes are RENTAL codes and do NOT require a prior authorization - Genetic Testing All DNA testing requires prior authorization; except CPT code 81220; in a 81105; 81106; 81107; 81108; 81109; 81110; 81111; 81112; 81120; 81121; 81161; 81163; 81164; pregnant patient for Cystic Fibrosis Carrier status. 81165; 81166; 81167; 81173; 81174; 81175; 81176; 81177; 81178; 81179; 81180; 81181; 81182; 81183; 81184; 81185; 81186; 81187; 81188; 81190; 81200; 81201; 81202; 81203; 81204; 81205; All DNA testing requires prior authorization; except CPT code 81220; in a 81206; 81207; 81208; 81209; 81210; 81211; 81212; 81213; 81214; 81215; 81216; 81217; 81223;

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.