81541 prior authorization | Anthem Blue Cross Blue Shield of Georgia

81541, Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as a disease-specific mortality risk score, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 81541
Description: Oncology (prostate), mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping), utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as a disease-specific mortality risk score
Source: Standard Local Prior Authorization Code List, Pg 53 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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