81245 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81245, Flt3 (Fms-Related Tyrosine Kinase 3) (Eg, Acute Myeloid Leukemia), Gene Analysis, Internal Tandem Duplication (Itd) Variants (Ie, Exons 14, 15), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81245
Description: Flt3 (Fms-Related Tyrosine Kinase 3) (Eg, Acute Myeloid Leukemia), Gene Analysis, Internal Tandem Duplication (Itd) Variants (Ie, Exons 14, 15)
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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