81465 prior authorization | Anthem Blue Cross Blue Shield of Colorado
81465, Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 81465
- Description
- Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if perfor
- Source
- Colorado Prior Authorization List, Pg 106 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization