Reminder: Genetic Counseling Required Prior to Genetic Testing

Reminder: Genetic Counseling Required Prior to Genetic Testing

Prior to rendering genetic testing services for germline disorders, it is required that the member has documented genetic counseling on file.  Genetic counseling for germline disorders is recommended after screening by providers for members who may be at risk for hereditary cancer syndromes.

Genetic counseling covers many aspects of the testing process for germline disorders.  For this reason, informed consent for testing to occur, information on a cancer risk assessment based on the member’s personal and family medical history, and the implications of a positive or negative result on the member and their family members should be submitted to show that counseling took place prior to testing.

This information applies to and should be included in any request for the following germline disorder tests:

  • BRCA 1 and 2
  • Familial Adenomatous Polyposis (FAP) and MUYTH-Associated Polyposis (MAP)
  • Lynch Syndrome

For more details on this information, visit our Medical Policies page via www.SouthCarolinaBlues.com or www.BlueChoiceSC.com and refer to CAM 20402, CAM 168 , CAM 169 and CAM 166.

If you have any questions about this bulletin, feel free to contact Provider Education at Provider.Education@bcbssc.com.