81277 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81277, Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81277
Description: Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities
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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