81175 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81175, ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81175
- Description
- ASXL1 (additional sex combs like 1, transcriptional regulator) (eg, myelodysplastic syndrome, myeloproliferative neoplasms, chronic myelomonocytic leukemia), gene analysis; full gene sequence
- Source
- New Hampshire Precertification List, Pg 156 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization