81177 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81177, ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81177
Description: ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 32 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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