81519 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81519, Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81519
- Description
- Oncology (breast), mRNA, gene expression profiling by real-time RT-PCR of 21 genes, utilizing formalin-fixed paraffin embedded tissue, algorithm reported as recurrence score
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization