Cardiology

Session # Abstract Poster# 289

Discrepancies in Payer Coverage and Practice Guidelines for Genetic Testing of ACMG Cardiovascular Genes

  • The clinical presentations of many inherited cardiovascular (CV) conditions overlap, thereby genetic testing may clarify diagnoses and facilitate appropriate clinical management.
  • The ACMG published a guideline for 59 genes with clinical actionability that should be reported if found on exome, of which 30 are related to CV conditions.
  • We compared the published practice guidelines for CV genetic testing against the 2018 coverage policies of 4 large US healthcare plans (102 million lives covered) and found that payer coverage is inconsistent and often limited across the CV conditions for the clinically actionable ACMG genes.

  • Authors: Nancy Niguidula; Jill Dolinsky; Benjamin Feldmann; Illa Hadzimehmedagic; Greg Nogle; Carrie Horton; Tami Johnston; Heather Zimmermann; Zöe Powis
  • Conference: Annual Clinical Genetics Meeting (ACMG) 2019
  • Date: Thursday, Apr 04, 2019 10:00am - 11:30am

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