81287 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81287, MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81287
- Description
- MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme) promoter methylation analysis
- Source
- New Hampshire Precertification List, Pg 164 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization