81325 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81325, PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81325
- Description
- PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 35 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization