81291 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81291, MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81291
Description: MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)
Source: New Hampshire Precertification List, Pg 165 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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