81538 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81538, Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall surviva, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81538
- Description
- Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall surviva
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization