81595 prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

81595, Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported as a rejection risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 81595
Description: Cardiology (heart transplant), mRNA, gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping), utilizing subfraction of peripheral blood, algorithm reported as a rejection risk score
Source: New Hampshire Precertification List, Pg 182 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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