Premera Blue Cross of Washington prior authorization 81326

Premera Blue Cross of Washington prior authorization for 81326: PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant These criteria do not imply or guarantee approval.

Code: 81326
Description: PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 470 Original policy

Premera Blue Cross of Washington prior authorization

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