Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81455
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81455: Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis
- Code
- 81455
- Description
- Solid organ or hematolymphoid neoplasm or disorder, 51 or greater genes, genomic sequence analysis panel, interrogation for sequence variants and copy number variants or rearrangements, or isoform expression or mRNA expression levels, if performed; DNA analysis or combined DNA and RNA analysis
- Source
- New Hampshire Precertification List, Pg 177 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization