81522 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81522, Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81522
- Description
- Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score
- Source
- New Hampshire Precertification List, Pg 180 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization