Blue Cross and Blue Shield of Montana prior authorization 81272

Blue Cross and Blue Shield of Montana prior authorization for 81272: Kit (V-Kit Hardy-Zuckerman 4 Feline Sarcoma Viral Oncogene Homolog) (Eg Gastrointestinal Stromal Tumor [Gist] Acute Myeloid Leukemia Melanoma) Gene Analysis Targeted Sequence Analysis (Eg Exons 8 11 13 17 18)

Code: 81272
Description: Kit (V-Kit Hardy-Zuckerman 4 Feline Sarcoma Viral Oncogene Homolog) (Eg Gastrointestinal Stromal Tumor [Gist] Acute Myeloid Leukemia Melanoma) Gene Analysis Targeted Sequence Analysis (Eg Exons 8 11 13 17 18)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 116 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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