81277 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81277, Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81277
Description: Cytogenomic neoplasia (genome-wide) microarray analysis, interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities
Source: Standard Local Prior Authorization Code List, Pg 44 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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