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Genetic Testing Policies


Patrius Health partners with Carelon Medical Benefits Management, an independent company, to administer advanced imaging solutions for our customers.

Note: Coverage is subject to the member's specific benefits. Group-specific policies will supersede these policies when applicable. Please refer to the member's benefit plan.

Draft Genetic Testing Policies

 

There are currently no policies in draft status.

Comment on Draft Policies

To ensure that the development of medical policies occurs through an open, collaborative process, we welcome comments about medical policies that are in the draft stage. 

Participating providers are invited to submit scientific, evidence-based information, professional consensus opinions and other information supported by medical literature relevant to these draft policies for consideration. 

Comments are accepted for 45 days from the posting date listed on the draft policy.

Make sure your voice is heard by providing feedback directly to us:

Patrius Health
Attn: Health Management - Medical Policy
P.O. Box 12364
Birmingham, AL 35202-2364

Fax: 205-220-0878

Precertification of Genetic Testing Services

Some genetic testing services require precertification. Click the link below to view a list of applicable CPT/HCPCS codes.

Genetic Testing Codes Requiring Precertification