81245 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81245, FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81245
Description: FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; internal tandem duplication (ITD) variants (ie, exons 14, 15)
Source: New Hampshire Precertification List, Pg 161 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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