Premera Blue Cross of Washington prior authorization 81463
Premera Blue Cross of Washington prior authorization for 81463: Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid, interrogation for sequence variants; DNA analysis, copy number variants & microsatellite instability These criteria do not imply or guarantee approval.
- Code
- 81463
- Description
- Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid, interrogation for sequence variants; DNA analysis, copy number variants & microsatellite instability These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 491 Original policy