Beginning Oct. 1, 2026, we’ll add the following recently issued American Medical Association (AMA) genetic and molecular test CPT codes to our genetic and molecular prior authorization requirements:
These codes are either new codes from the AMA or codes that were previously designated as unproven.
For training, view our Prior Authorization and Notification Interactive Guide
If we don't receive a prior authorization request before the date of service, we'll deny the claim and you won't be able to balance bill members.
If you have questions, please visit our Prior Authorization and Notification resource.
PCA-1-26-01063-Clinical-NN_06102026