81448 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81448, Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81448
- Description
- Hereditary peripheral neuropathies (eg, Charcot-Marie-Tooth, spastic paraplegia), genomic sequence analysis panel, must include sequencing of at least 5 peripheral neuropathy
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization