81255 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81255, HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81255
- Description
- HEXA (hexosaminidase A [alpha polypeptide]) (eg, Tay-Sachs disease) gene analysis, common variants (eg, 1278insTATC, 1421+1G>C, G269S)
- Source
- Standard Local Prior Authorization Code List, Pg 43 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization