81540 prior authorization | Anthem Blue Cross and Blue Shield Virginia
81540, Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 81540
- Description
- Oncology (tumor of unknown origin), mRNA, gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization