Does S3866 require prior authorization?

No, S3866 does not require prior authorization (high confidence). Covered without prior authorization.

What is the Medicare reimbursement rate for S3866?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

HCPCS/CPT

No Prior Auth Required

Covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Genetic testing to establish a diagnosis or susceptibility for an inherited disease may be considered medically necessary if the genetic test is not a panel test listed in GT64 (Genetic Testing Policy No. 64) and is not addressed by another specific policy; these panel tests are always investigational.

REGENCE-GT20, Genetic and Molecular Diagnostic Testing

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