81465 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81465, Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81465
- Description
- Whole mitochondrial genome large deletion analysis panel (eg, Kearns-Sayre syndrome, chronic progressive external ophthalmoplegia), including heteroplasmy detection, if performed
- Source
- Standard Local Prior Authorization Code List, Pg 52 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization