81522 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81522, Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin- embedded tissue, algorithm reported, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81522
Description: Oncology (breast), mRNA, gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping), utilizing formalin-fixed paraffin- embedded tissue, algorithm reported
Source: Standard Local Prior Authorization Code List, Pg 52 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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