81338 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81338, MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81338
Description: MPL (MPL proto-oncogene, thrombopoietin receptor) (eg, myeloproliferative disorder) gene analysis; common variants (eg, W515A, W515K, W515L, W515R)
Source: New Hampshire Precertification List, Pg 169 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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