81313 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81313, PCA3/KLK3 (prostate, Cancer antigen 3 [non- protein, Coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate, Cancer), is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81313
- Description
- PCA3/KLK3 (prostate, Cancer antigen 3 [non- protein, Coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg, prostate, Cancer)
- Source
- Standard Local Prior Authorization Code List, Pg 46 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization