81458 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81458, Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81458
- Description
- Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization