81538 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
81538, Oncology (lung), mass spectrometric 8- protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 81538
- Description
- Oncology (lung), mass spectrometric 8- protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival
- Source
- New Hampshire Precertification List, Pg 180 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization