81538 prior authorization | Anthem Blue Cross Blue Shield of California
81538, Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81538
- Description
- Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival
- Source
- California PPO Prior Authorization List, Pg 12 Original policy
Anthem Blue Cross Blue Shield of California prior authorization