Now that your patient has requested that you order a pharmacogenomics (PGx) test, the following will facilitate the process.
But first...
You may wish to review the benefits to your practice as well as to your patients by reviewing the page linked below. Also...
This letter explains why your patient wants this particular test which is the only cloud-based interactive PGx test in the industry.
PGx Test Ordering Instructions (also, p. 2 includes ICD-10 codes)
Your patient most likely provided these forms to you (also linked below):
This authorizes you and your designated people to review PGx tests for this patient as well as any tests you order in the future.
Page 1: (Complete all sections... additional notes below)
Testing Panel:
Order a full panel. This is needed since as described above, this software will follow your patient for a lifetime, so it will be useful for future health conditions as well as new drugs introduced in the future.
Each time a proposed medication is added to the patient's file, a new test is created.
More detail: Order a Full Panel
Diagnosis Information:
Include all codes for medical necessity.
If needed, the following may be helpful to you:
Authorizations:
Complete and sign.
Specimen collector: The swab can be conducted by you, your assistant, or the patient's Medical Services Consultant.
Page 2: (Patient signs.)
Page 3: Complete and sign.
You can now turn over the process to your staff to collect and ship the specimen (further below).
Prior to the day of the follow-up appointment, please refer to the following guidance:
The PGx Test Ordering Instructions (linked above) provides a checklist.
If you were provided the specimen kit, your assistant can collect the specimen and ship in the provided FedEx package to the lab.
If the specimen kit is not available, the patient's Medical Services Consultant will collect the specimen and ship the FedEx package along with the paperwork, including the following...
Include the demographic sheet to include the front and back of insurance card(s) and the list of current medications.
Before performing the PGx test, the lab will contact the insurance company to determine coverage.
If the insurance plan will not pay for the test, the lab will first call the patient directly to offer a self-pay option of $275... There will be no billing surprises!
Please ask your patient for contact information of the Medical Services Consultant.