81177 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81177, ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81177
- Description
- ATN1 (atrophin 1) (eg, dentatorubral-pallidoluysian atrophy) gene analysis, evaluation to detect abnormal (eg, expanded) alleles
- Source
- Standard Local Prior Authorization Code List, Pg 40 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization