81465 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81465, Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81465
- Description
- Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization