81253 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81253, GJB2 (gap junction protein, beta 2, 26kDa; connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81253
- Description
- GJB2 (gap junction protein, beta 2, 26kDa; connexin 26) (eg, nonsyndromic hearing loss) gene analysis; known familial variants
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization