81243 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81243, FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) 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
- 81243
- Description
- FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; evaluation to detect abnormal (eg, expanded) alleles
- Source
- New Hampshire Precertification List, Pg 161 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization