81206 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81206, Bcr/Abl1 (T(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Major Breakpoint, Qualitative Or Quantitative, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81206
- Description
- Bcr/Abl1 (T(9;22)) (Eg, Chronic Myelogenous Leukemia) Translocation Analysis; Major Breakpoint, Qualitative Or Quantitative
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization