81255 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81255, Hexa (Hexosaminidase A [Alpha Polypeptide]) (Eg, Tay-Sachs Disease) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81255
- Description
- Hexa (Hexosaminidase A [Alpha Polypeptide]) (Eg, Tay-Sachs Disease) Gene Analysis, Common Variants (Eg, 1278Instatc, 1421+1G>C, G269S)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 33 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization