Does 84433 require prior authorization?

No, 84433 does not require prior authorization (high confidence). Code is covered without prior authorization.

What is the Medicare reimbursement rate for 84433?

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

HCPCS/CPT

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

No documentation requirements (medical records, test results, or clinical documentation) are specified in this document chunk.
No documentation requirements are stated in the provided document text.
No specific documentation requirements (medical records, test results, or clinical notes) are specified in the provided text.
No documentation requirements are specified in the provided excerpt.

Behavioral health pharmacogenomic testing are laboratory tests that analyze an individual's genetic profile to help predict response to medications commonly prescribed for mental health conditions.
Pharmacogenomics testing is laboratory testing which has the potential to determine how an individual's genetic factors may affect the safety and effectiveness of that individual's response to a specific medication.
The goal of pharmacogenomics testing is to reduce the incidence of adverse medication reactions while improving an individual's positive response to the medication.
Some tests may help provide information on how well a specific treatment may work for an individual.
Examples of behavioral health pharmacogenomic tests referenced: GeneSight Psychotropic Test, IDgenetix, MindX One Blood Test - Anxiety, Psych HealthPGx Panel, Serotonin Receptor Genotype and Tempus nP.
ChemoFx assay: laboratory test that evaluates how an individual's solid tumor may respond (sensitive or resistant) to different chemotherapy drugs.

HUMANA-PHARMACOGENOMICS-TESTING-SC-MEDICAID — Pharmacogenomics Testing - MEDICAID - SOUTH CAROLINA

HUMANA-PHARMACOGENOMICS-TESTING-FL-MEDICAID — Pharmacogenomics Testing - MEDICAID - FLORIDA

HUMANA-PHARMACOGENOMICS-TESTING-VA-MEDICAID — Pharmacogenomics Testing - MEDICAID - VIRGINIA

HUMANA-PHARMACOGENOMICS-TESTING-KY-MEDICAID — Pharmacogenomics Testing - MEDICAID - KENTUCKY

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