81313 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81313, PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81313
- Description
- PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate cancer)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 34 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization