Anthem Blue Cross Blue Shield of California prior authorization 86849

Anthem Blue Cross Blue Shield of California prior authorization for 86849: Unlisted immunology procedure [when specified as in vitro chemosensitivity or in vitro chemoresistance assay, ex vivo analysis of programmed cell death] or [when specified as Complement Antigen Test for delayed food allergy, Mediator Release Test (MRT), or Basophil Activation Test (BAT) by flow cytometry]

Code: 86849
Description: Unlisted immunology procedure [when specified as in vitro chemosensitivity or in vitro chemoresistance assay, ex vivo analysis of programmed cell death] or [when specified as Complement Antigen Test for delayed food allergy, Mediator Release Test (MRT), or Basophil Activation Test (BAT) by flow cytometry]
Source: California PPO Prior Authorization List, Pg 13 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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