81244 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81244, FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81244
Description: FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)
Source: New Hampshire Precertification List, Pg 161 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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