81264 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81264, IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B- cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81264
Description: IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B- cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)
Source: New Hampshire Precertification List, Pg 163 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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