Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81529

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81529: Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT- PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk, including likelihood of sentinel lymph node metastasis

Code: 81529
Description: Oncology (cutaneous melanoma), mRNA, gene expression profiling by real-time RT- PCR of 31 genes (28 content and 3 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk, including likelihood of sentinel lymph node metastasis
Source: New Hampshire Precertification List, Pg 180 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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