Prior Auth Required

81211 - All DNA testing requires prior authorization; except CPT code ; in a

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceAll DNA testing requires prior authorization; except CPT code ; in a
Procedure / Service Description

The following codes are RENTAL codes and do NOT require a prior authorization - 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; Genetic Testing (cont.) pregnant patient for Cystic Fibrosis Carrier status. 81224; 81225; 81226; 81227; 81228; 81229; 81233; 81234; 81235; 81238;81239; 81240; 81241;

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.