81258 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81258, HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81258
Description: HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; known familial variant
Source: Standard Local Prior Authorization Code List, Pg 43 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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