81260 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81260, Ikbkap (Inhibitor Of Kappa Light Polypeptide Gene Enhancer In B-Cells, Kinase Complex- Associated Protein) (Eg, Familial Dysautonomia) Gene Analysis, Common Variants (Eg, 2507+, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81260
Description: Ikbkap (Inhibitor Of Kappa Light Polypeptide Gene Enhancer In B-Cells, Kinase Complex- Associated Protein) (Eg, Familial Dysautonomia) Gene Analysis, Common Variants (Eg, 2507+
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 34 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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