81552 prior authorization | Anthem Blue Cross and Blue Shield Virginia

81552, Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed pa, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 81552
Description: Oncology (uveal melanoma), mRNA, gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping), utilizing fine needle aspirate or formalin-fixed pa
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 37 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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