81246 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81246, FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81246
- Description
- FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia), gene analysis; tyrosine kinase domain (TKD) variants (eg, D835, I836)
- Source
- New Hampshire Precertification List, Pg 161 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization