Transcription of Genetic Testing for Hereditary Cancer - UHCprovider.com
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Genetic Testing for Hereditary Cancer - UHCprovider.com
Genetic Testing for Hereditary Cancer Page 1 of 28 UnitedHealthcare Commercial Medical Policy Effective 12/01/2021 Proprietary Information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc. UnitedHealthcare Commercial Medica l Policy Genetic Testing for Hereditary Cancer Policy Number: 2021T0009GG Effective Date: December 1, 2021 Instructions for Use Table of Contents Page Coverage Rationale .. 1 Documentation Requirements .. 1 Definitions .. 3 Applicable Codes .. 4 Description of Services .. 6 clinical Evidence .. 7 Food and Drug Administration .. 21 References .. 21 Policy History/Revision Information .. 27 Instructions for Use .. 28 Coverage Rationale Genetic counseling is strongly recommended prior to these tests in order to inform persons being tested about the advantages and limitations of the test as applied to a unique person. Single gene Testing and known mutation Testing for familial Cancer is proven and medically necessary.
cancer is proven and medically necessary if all the following criteria are met: ... How clinical management will be impacted based on results of genetic testing Genetic counseling (if available) ... (usually glioblastoma), biliary tract, small intestinal cancers, sebaceous adenomas, sebaceous carcinomas and ...
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