81354 prior authorization | Anthem Blue Cross Blue Shield of California
81354, Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural 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
- 81354
- Description
- Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of structural and copy number variants, optical genome mapping (OGM)
- Source
- California PPO Prior Authorization List, Pg 134 Original policy
Anthem Blue Cross Blue Shield of California prior authorization