Anthem Blue Cross Blue Shield of Georgia prior authorization 81540
Anthem Blue Cross Blue Shield of Georgia 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
- Standard Local Prior Authorization Code List, Pg 53 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization