81350 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81350, UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common varian, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81350
Description: UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common varian
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 35 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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