81170 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

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 New Hampshire 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: New Hampshire Precertification List, Pg 156 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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