81264 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81264, Igk@ (Immunoglobulin Kappa Light Chain Locus) (Eg, Leukemia And Lymphoma, B-Cell), Gene Rearrangement Analysis, Evaluation To Detect Abnormal Clonal Population(S), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81264
Description: Igk@ (Immunoglobulin Kappa Light Chain Locus) (Eg, Leukemia And Lymphoma, B-Cell), Gene Rearrangement Analysis, Evaluation To Detect Abnormal Clonal Population(S)
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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