Blue Cross and Blue Shield of Montana prior authorization 81448

Blue Cross and Blue Shield of Montana prior authorization for 81448: Hereditary Peripheral Neuropathies (Eg Charcot-Marie-Tooth Spastic Paraplegia) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 5 Peripheral Neuropathy-Related Genes (Eg Bscl2 Gjb1 Mfn2 Mpz Reep1 Spast Spg11 Sptlc1)

Code: 81448
Description: Hereditary Peripheral Neuropathies (Eg Charcot-Marie-Tooth Spastic Paraplegia) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 5 Peripheral Neuropathy-Related Genes (Eg Bscl2 Gjb1 Mfn2 Mpz Reep1 Spast Spg11 Sptlc1)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 147 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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