81260 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81260, IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81260
Description: IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) (eg, familial dysautonomia) gene analysis, common variants (eg, 2507+6T>C, R696P)
Source: New Hampshire Precertification List, Pg 163 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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