81121 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81121, IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81121
Description: IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)
Source: New Hampshire Precertification List, Pg 155 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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