81177 prior authorization | Blue Cross and Blue Shield of Montana

81177, Atn1 (Atrophin 1) (Eg Dentatorubral- Pallidoluysian Atrophy) Gene Analysis Evaluation To Detect Abnormal (Eg Expanded) Alleles, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81177
Description: Atn1 (Atrophin 1) (Eg Dentatorubral- Pallidoluysian Atrophy) Gene Analysis Evaluation To Detect Abnormal (Eg Expanded) Alleles
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 103 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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