81520 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81520, Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81520
- Description
- Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a recurrence risk score
- Source
- New Hampshire Precertification List, Pg 180 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization