Premera Blue Cross of Washington prior authorization 81204

Premera Blue Cross of Washington prior authorization for 81204: AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)

Code: 81204
Description: AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)
Source: Clinical Review by Code List PBCWA, Pg 446 Original policy

Premera Blue Cross of Washington prior authorization

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