81417 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81417, Exome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome), is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81417
Description: Exome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)
Source: New Hampshire Precertification List, Pg 173 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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