81172 prior authorization | Anthem Blue Cross Blue Shield of California
81172, AFF2 (AF4/FMR2 family, member 2 [FMR2]) (e.g., fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (e.g., expanded size and methylation status), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81172
- Description
- AFF2 (AF4/FMR2 family, member 2 [FMR2]) (e.g., fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (e.g., expanded size and methylation status)
- Source
- California PPO Prior Authorization List, Pg 124 Original policy
Anthem Blue Cross Blue Shield of California prior authorization