81471 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81471, X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81471
- Description
- X-linked intellectual disability (XLID) (eg, syndromic and non-syndromic XLID); duplication/deletion gene analysis, must include analysis of at least 60 genes, including ARX
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 36 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization