UHC – Chromosome Microarray Testing (Non-Oncology Conditions)

Policy Number: 2021T0559S Effective Date: June 1, 2021

Applicable Codes

• Added ICD-10 diagnosis code O02.89 Supporting Information
• Updated Clinical Evidence and References sections to reflect the most current information

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/chromosome-microarray-testing-06012021.pdf