81326 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81326, PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81326
Description: PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant
Source: New Hampshire Precertification List, Pg 168 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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