Premera Blue Cross of Washington prior authorization 81315

Premera Blue Cross of Washington 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: Clinical Review by Code List PBCWA, Pg 468 Original policy

Premera Blue Cross of Washington prior authorization

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