Why did my physician refer me to the Cancer Risk Management Program?
Your doctor recognized some features about your personal and/or family history which raised concern about inherited risk factors for cancer. It is important to determine if you or your family members have genetic risk factors in order to help determine the best way to manage your health care.
Is my appointment covered by insurance?
In general, if you have coverage to see a specialist at the University of Minnesota Health, you will likely have similar coverage to be seen by a provider with the Cancer Risk Management Program.
You should, however, contact your insurance company to confirm which charges will be covered.
Your insurance carrier may ask for a billing code to verify coverage. The billing code for a genetic counseling visit is 96040. If it’s determined that genetic testing is recommended, we will get prior authorization from your insurance company before any testing is done.
What billing codes are used for the genetic testing?
That is determined at the time of the appointment with the genetic counselor, based on your personal or family history. No genetic testing will be done without prior authorization with your insurance company.
Do I need a referral to see a genetic counselor?
You do not need a formal referral to see a cancer genetic counselor. However, you may need a referral from a medical provider for insurance reasons. Please check with your insurance provider.
How long will my appointment take?
In general, please plan for 1 hour to 1 hour and 15 minutes for your first appointment.
Can I have genetic testing at the appointment? Is it always necessary to have genetic testing?
Coming to the consultation does not mean you must undergo genetic testing, but that you are interested in learning more. If you and the clinician decide genetic testing is right for you, blood can be drawn at the end of your appointment.
May a friend, family member or other support person accompany me to my appointment?
Yes. If you plan to bring more than 1-2 people, please notify us in advance to ensure we have a room big enough to accommodate everyone.
My family member and I were both referred to the Cancer Risk Management Program to see a genetic counselor. Can we be seen at the same time?
Yes, we can evaluate multiple referred family members together, but each family member will need to schedule an individual appointment. When you call to schedule, request back to back appointments. Please notify us if there will be more than 1-2 people at the visit so we can ensure we have a room to accommodate everyone.
How long do genetic test results take?
Depending on the test, results may be available within a few weeks.
What does “high risk management” mean?
This is a term that we use to describe people who have a higher than average risk for developing cancer. It does not mean that a person WILL develop cancer; it means that they are at risk and national guidelines recommend more frequent screening and surveillance than what is recommended for most people.
What can I expect during my appointment with Denise Musser, your clinical nurse specialist?
Denise Musser, APRN-CNS, our Cancer Risk Management Program clinical nurse specialist, will address your questions about your level of risk and put together an individualized screening, surveillance and prevention plan for you based on current national recommendations and your individual needs. In managing your care, she will perform a focused exam, order any screening tests you need, provide you with results and refer you to specialists as needed. In some cases, she may prescribe medication that may help you reduce your risk for cancer or help you stop smoking. She may help you access resources in the community for ongoing support.