81465 prior authorization | Anthem Blue Cross Blue Shield of California
81465, Whole mitochondrial genome large deletion analysis panel (e.g., Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed., is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81465
- Description
- Whole mitochondrial genome large deletion analysis panel (e.g., Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed.
- Source
- California PPO Prior Authorization List, Pg 48 Original policy
Anthem Blue Cross Blue Shield of California prior authorization