81291 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81291, MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81291
- Description
- MTHFR (5,10-methylenetetrahydrofolate reductase) (eg, hereditary hypercoagulability) gene analysis, common variants (eg, 677T, 1298C)
- Source
- Standard Local Prior Authorization Code List, Pg 45 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization