81170 prior authorization | Anthem Blue Cross Blue Shield of California
81170, (ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (e.g., acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81170
- Description
- (ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (e.g., acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain)
- Source
- California PPO Prior Authorization List, Pg 124 Original policy
Anthem Blue Cross Blue Shield of California prior authorization