81244 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81244, FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81244
- Description
- FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome, X-linked intellectual disability [XLID]) gene analysis; characterization of alleles (eg, expanded size and promoter methylation status)
- Source
- Standard Local Prior Authorization Code List, Pg 43 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization