Premera Blue Cross of Washington prior authorization 81340

Premera Blue Cross of Washington prior authorization for 81340: TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) These criteria do not imply or guarantee approval.

Code: 81340
Description: TRB@ (T cell antigen receptor, beta) (eg, leukemia and lymphoma), gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg, polymerase chain reaction) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 473 Original policy

Premera Blue Cross of Washington prior authorization

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