81405 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81405, Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81405
- Description
- Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally targeted cytogenomic array analysis)
- Source
- New Hampshire Precertification List, Pg 171 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization