81417* prior authorization | Cigna
81417*, Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome), is on the Cigna prior authorization list. Not a coverage or referral decision.
- Code
- 81417*
- Description
- Exome (eg, unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)
- Source
- Master Precertification List For Health Care Providers, Pg 63 Original policy