Blue Cross and Blue Shield of Montana prior authorization 81315
Blue Cross and Blue Shield of Montana prior authorization for 81315: Pml/Raralpha (T(15;17)) (Promyelocytic Leukemia/Retinoic Acid Receptor Alpha) (Eg Promyelocytic Leukemia) Translocation Analysis; Common Breakpoints (Eg Intron 3 And Intron 6) Qualitative Or Quantitative
- Code
- 81315
- Description
- Pml/Raralpha (T(15;17)) (Promyelocytic Leukemia/Retinoic Acid Receptor Alpha) (Eg Promyelocytic Leukemia) Translocation Analysis; Common Breakpoints (Eg Intron 3 And Intron 6) Qualitative Or Quantitative
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 122 Original policy