81120 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81120, IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81120
- Description
- IDH1 (isocitrate dehydrogenase 1 [NADP+], soluble) (eg, glioma), common variants (eg, R132H, R132C)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 32 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization