81538 prior authorization | Anthem Blue Cross Blue Shield of Georgia
81538, Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- 81538
- Description
- Oncology (lung), mass spectrometric 8-protein signature, including amyloid A, utilizing serum, prognostic and predictive algorithm reported as good versus poor overall survival
- Source
- Standard Local Prior Authorization Code List, Pg 106 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization