81504 prior authorization | Anthem Blue Cross Blue Shield of California
81504, Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as tissue similarity scores, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81504
- Description
- Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as tissue similarity scores
- Source
- California PPO Prior Authorization List, Pg 48 Original policy
Anthem Blue Cross Blue Shield of California prior authorization