88120 prior authorization | Anthem Blue Cross and Blue Shield Virginia

88120, Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 88120
Description: Cytopathology, in situ hybridization (eg, FISH), urinary tract specimen with morphometric analysis, 3-5 molecular probes, each specimen; manual
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 54 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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