81521 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81521, Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81521
- Description
- Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization