81172 prior authorization | Anthem Blue Cross Blue Shield of Colorado
81172, AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methyla, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 81172
- Description
- AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X intellectual disability 2 [FRAXE]) gene analysis; characterization of alleles (eg, expanded size and methyla
- Source
- Colorado Prior Authorization List, Pg 95 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization