81465 prior authorization | Anthem Blue Cross and Blue Shield Nevada
81465, Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 81465
- Description
- Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor
- Source
- Nevada Prior Authorization List, Pg 98 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization