81171 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81171, AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81171
Description: AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles
Source: New Hampshire Precertification List, Pg 156 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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