81242 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81242, Fancc (Fanconi Anemia, Complementation Group C) (Eg, Fanconi Anemia, Type C) Gene Analysis, Common Variant (Eg, Ivs4+4A>T), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81242
- Description
- Fancc (Fanconi Anemia, Complementation Group C) (Eg, Fanconi Anemia, Type C) Gene Analysis, Common Variant (Eg, Ivs4+4A>T)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization