81523 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81523, Oncology (breast), mRNA, next- generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as index related to risk to distant metastasis, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81523
- Description
- Oncology (breast), mRNA, next- generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes, utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as index related to risk to distant metastasis
- Source
- New Hampshire Precertification List, Pg 180 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization