81520 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81520, Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm r, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81520
- Description
- Oncology (breast), mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm r
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization