What is CPT code 81420 UHC?

The Current Procedural Terminology (CPT ) code 81420 as maintained by American Medical Association, is a medical procedural code under the range - Genomic Sequencing Procedures and Other Molecular Multianalyte Assays.

Is 81420 covered by Medicare?

Therefore, Next Generation Sequencing Panel tests are considered not medically necessary for BlueCHiP for Medicare and are not covered for Commercial Products. Exception: Testing represented by CPT code 81420 is a covered service for BlueCHiP for Medicare and Commercial Products.

What is CPT code 81420 medical necessity?

81420: Fetal chromosomal aneuploidy (e.g., trisomy 21, monosomy X) genomic sequence analysis panel, circulating cell-free fetal DNA in maternal blood, must include analysis of chromosomes 13, 18, and 21.

Is NIPT covered by Medicare?

NIPT is not rebated by Medicare and is not covered by private health insurance.

Is NIPT covered by United Healthcare?

United Healthcare NIPT is considered medically necessary in the following circumstances: Maternal age or oocyte age of 35 years or older at delivery; or. Fetal ultrasound findings indicating an increased risk of aneuploidy; or.

What is the CPT code for genetic testing during pregnancy?

82677, 86336); is an optional noninvasive evaluation that combines an ultrasound, maternal blood screening at 12 weeks, and additional bloodwork at 16 weeks in evaluation of the fetus to identify risk for specific chromosomal abnormalities: Down Syndrome (Trisomy21) and Edwards Syndrome (Trisomy 18).

Get Acog Ob Prior Auth Form

T are submitted without all of the required information will be returned for correction. Fax the completed form to 1-512-302-5039 or call 1-888-302-6167 for authorization. Client Information First Name: Last Name: DOB: Middle Initial: Client Medicaid Number: Requesting Provider Information Name: Address: City: State: TPI: Zip: NPI: Taxonomy: Telephone number: Fax number: Performing/Facility Provider Information (if different from requesting provider) Name: Address: City: State:.

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