Premera Blue Cross of Washington prior authorization 81168

Premera Blue Cross of Washington prior authorization for 81168: CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed These criteria do not imply or guarantee approval.

Code: 81168
Description: CCND1/IGH (t(11;14)) (eg, mantle cell lymphoma) translocation analysis, major breakpoint, qualitative and quantitative, if performed These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 439 Original policy

Premera Blue Cross of Washington prior authorization

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