Premera Blue Cross of Washington prior authorization 81175
Premera Blue Cross of Washington prior authorization for 81175: ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence
- Code
- 81175
- Description
- ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence
- Source
- Clinical Review by Code List PBCWA, Pg 441 Original policy