81170 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81170, ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81170
Description: ABL1 (ABL proto-oncogene 1, non-receptor tyrosine kinase) (eg, acquired imatinib tyrosine kinase inhibitor resistance), gene analysis, variants in the kinase domain
Source: Standard Local Prior Authorization Code List, Pg 40 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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