Anthem Blue Cross and Blue Shield New Hampshire prior authorization 81540
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 81540: Oncology (tumor of unknown origin), mRNA, gene expression profiling by real- time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype
- Code
- 81540
- Description
- Oncology (tumor of unknown origin), mRNA, gene expression profiling by real- time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a probability of a predicted main cancer type and subtype
- Source
- New Hampshire Precertification List, Pg 181 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization