81458 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81458, Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81458
Description: Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability
Source: Standard Local Prior Authorization Code List, Pg 51 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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