UHC Commercial Policy Update – Genetic Testing for Hereditary Cancer

12/1/2021 update

Documentation Requirements:

• Updated list of applicable CPT codes with associated documentation requirements; removed 81212, 81215, and 81217

Definitions:

• Added definition of “High Penetrance Breast Cancer Susceptibility Genes”

Applicable Codes BRCA1 and BRCA2: 

• Removed CPT codes 81212, 81215, and 81217

Multi-Gene Panel:

• Added CPT code 81479

Source: https://www.uhcprovider.com/content/dam/provider/docs/public/policies/index/commercial/genetic-testing-hereditary-cancer-12012021.pdf