81121 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81121, IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81121
- Description
- IDH2 (isocitrate dehydrogenase 2 [NADP+], mitochondrial) (eg, glioma), common variants (eg, R140W, R172M)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 32 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization