81204 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81204, AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81204
Description: AR (androgen receptor) (eg, spinal and bulbar muscular atrophy, Kennedy disease, X chromosome inactivation) gene analysis; characterization of alleles (eg, expanded size or methylation status)
Source: New Hampshire Precertification List, Pg 158 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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