81522 prior authorization | Anthem Blue Cross Blue Shield of California
81522, Oncology (breast), mRNA, gene expression profiling by RT- PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81522
- Description
- Oncology (breast), mRNA, gene expression profiling by RT- PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as recurrence risk score
- Source
- California PPO Prior Authorization List, Pg 135 Original policy
Anthem Blue Cross Blue Shield of California prior authorization