81350 prior authorization | Anthem Blue Cross Blue Shield of Colorado

81350, UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common varian, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 81350
Description: UGT1A1 (UDP glucuronosyltransferase 1 family, polypeptide A1) (eg, drug metabolism, hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis, common varian
Source: Colorado Prior Authorization List, Pg 102 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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