Premera Blue Cross of Washington prior authorization 81525
Premera Blue Cross of Washington prior authorization for 81525: Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence score These criteria do not imply or guarantee approval.
- Code
- 81525
- Description
- Oncology (colon), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence score These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 496 Original policy