GeneDx
LETTER OF MEDICAL NECESSITY FOR HYPERTROPHIC CARDIOMYOPATHY GENETIC TESTING . Date: 01/01/2019 . To:Utilization Review Department . Cigna. Re:Smith, Jane DOB: 01/01/1960. ICD-10 Codes: This letter is in regards to my patient and your subscriber, Jane Smith, to request full coverage of medically-indicated genetic testing for HYPERTROPHIC CARDIOMYOPATHY (HCM) to be … ................
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