Premera Blue Cross of Washington prior authorization 81519
Premera Blue Cross of Washington prior authorization for 81519: Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score These criteria do not imply or guarantee approval.
- Code
- 81519
- Description
- Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 494 Original policy