81228 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81228, Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81228
Description: Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis
Source: New Hampshire Precertification List, Pg 160 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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