Anthem Blue Cross and Blue Shield Virginia prior authorization 81460

Anthem Blue Cross and Blue Shield Virginia prior authorization for 81460: Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [

Code: 81460
Description: Whole mitochondrial genome (eg, Leigh syndrome, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes [MELAS], myoclonic epilepsy with ragged-red fibers [
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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