Ambetter · PayerPolicy · AMBETTER-CONCERT-GENETIC-TESTING-MULTISYSTEM-GENETIC-CONDITIONS
Summary of the payer’s published policy. Not a coverage determination — confirm with Ambetter before submitting.
Free account. Policy pages stay open to everyone.
Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.
| Code | Code system | Status in this policy |
|---|---|---|
| 0094U | CPT | Referenced |
| 0156U | CPT | Referenced |
| 0212U | CPT | Referenced |
| 0213U | CPT | Referenced |
| 0265U | CPT | Referenced |
| 0417U | CPT | Referenced |
| 0425U | CPT | Referenced |
| 0426U | CPT | Referenced |
| 81185 | CPT | Referenced |
| 81228 | CPT | Referenced |
| 81229 | CPT | Referenced |
| 81236 | CPT | Referenced |
| 81243 | CPT | Referenced |
| 81244 | CPT | Referenced |
| 81302 | CPT | Referenced |
| 81321 | CPT |
| Referenced |
| 81331 | CPT | Referenced |
|---|
| 81400 | CPT | Referenced |
|---|
| 81401 | CPT | Referenced |
|---|
| 81402 | CPT | Referenced |
|---|
| 81403 | CPT | Referenced |
|---|
| 81404 | CPT | Referenced |
|---|
| 81405 | CPT | Referenced |
|---|
| 81406 | CPT | Referenced |
|---|
| 81407 | CPT | Referenced |
|---|
| 81408 | CPT | Referenced |
|---|
| 81410 | CPT | Referenced |
|---|
| 81411 | CPT | Referenced |
|---|
| 81415 | CPT | Referenced |
|---|
| 81416 | CPT | Referenced |
|---|
| 81417 | CPT | Referenced |
|---|
| 81425 | CPT | Referenced |
|---|
| 81426 | CPT | Referenced |
|---|
| 81427 | CPT | Referenced |
|---|
| 81440 | CPT | Referenced |
|---|
| 81442 | CPT | Referenced |
|---|
| 81460 | CPT | Referenced |
|---|
| 81465 | CPT | Referenced |
|---|
| 81470 | CPT | Referenced |
|---|
| 81471 | CPT | Referenced |
|---|
| 81479 | CPT | Referenced |
|---|
| 88271 | CPT | Referenced |
|---|
| 88273 | CPT | Referenced |
|---|
| S3870 | HCPCS | Referenced |
|---|
| C22.2 | ICD10CM | Referenced |
|---|
| D15.1 | ICD10CM | Referenced |
|---|
| D21.9 | ICD10CM | Referenced |
|---|
| E28.3 | ICD10CM | Referenced |
|---|
| E88.40 | ICD10CM | Referenced |
|---|
| E88.41 | ICD10CM | Referenced |
|---|
| E88.42 | ICD10CM | Referenced |
|---|
| E88.49 | ICD10CM | Referenced |
|---|
| F80.0 | ICD10CM | Referenced |
|---|
| F84.0 | ICD10CM | Referenced |
|---|
| G11.2 | ICD10CM | Referenced |
|---|
| G25.2 | ICD10CM | Referenced |
|---|
| G31.82 | ICD10CM | Referenced |
|---|
| G40.909 | ICD10CM | Referenced |
|---|
| H35.89 | ICD10CM | Referenced |
|---|
| H49.811 | ICD10CM | Referenced |
|---|
| H49.819 | ICD10CM | Referenced |
|---|
| H93.52 | ICD10CM | Referenced |
|---|
| I42.9 | ICD10CM | Referenced |
|---|
| L81.3 | ICD10CM | Referenced |
|---|
| L81.4 | ICD10CM | Referenced |
|---|
| M35.7 | ICD10CM | Referenced |
|---|
| N28.1 | ICD10CM | Referenced |
|---|
| Q00.026 | ICD10CM | Referenced |
|---|
| Q12.1 | ICD10CM | Referenced |
|---|
| Q38.2 | ICD10CM | Referenced |
|---|
| Q61.9 | ICD10CM | Referenced |
|---|
| Q67.6 | ICD10CM | Referenced |
|---|
| Q67.7 | ICD10CM | Referenced |
|---|
| Q79.2 | ICD10CM | Referenced |
|---|
| Q79.60 | ICD10CM | Referenced |
|---|
| Q79.61 | ICD10CM | Referenced |
|---|
| Q79.63 | ICD10CM | Referenced |
|---|
| Q79.69 | ICD10CM | Referenced |
|---|
| Q85.0 | ICD10CM | Referenced |
|---|
| Q87.19 | ICD10CM | Referenced |
|---|
| Q87.3 | ICD10CM | Referenced |
|---|
| Q87.4 | ICD10CM | Referenced |
|---|
| Q87.5 | ICD10CM | Referenced |
|---|
| Q89.7 | ICD10CM | Referenced |
|---|
| Q89.8 | ICD10CM | Referenced |
|---|
| Q93.5 | ICD10CM | Referenced |
|---|
| Q93.51 | ICD10CM | Referenced |
|---|
| Q99.2 | ICD10CM | Referenced |
|---|
| Q99.9 | ICD10CM | Referenced |
|---|
| R16.0 | ICD10CM | Referenced |
|---|
| R16.2 | ICD10CM | Referenced |
|---|
| R56.9 | ICD10CM | Referenced |
|---|
| R62.0 | ICD10CM | Referenced |
|---|
| R62.5 | ICD10CM | Referenced |
|---|
| R62.50 | ICD10CM | Referenced |
|---|
| R62.51 | ICD10CM | Referenced |
|---|
| R62.52 | ICD10CM | Referenced |
|---|
| R62.59 | ICD10CM | Referenced |
|---|
| Z82.79 | ICD10CM | Referenced |
|---|