81174 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81174, AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81174
- Description
- AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; known familial variant
- Source
- New Hampshire Precertification List, Pg 156 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization