81195 prior authorization | Anthem Blue Cross Blue Shield of California

81195, Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 81195
Description: Cytogenomic (genome-wide) analysis, hematologic malignancy, structural variants and copy number variants, optical genome mapping (OGM)
Source: California PPO Prior Authorization List, Pg 125 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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