81170 prior authorization | Anthem Blue Cross and Blue Shield Nevada
81170, ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 81170
- Description
- ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain
- Source
- Nevada Prior Authorization List, Pg 87 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization