81245 prior authorization | Blue Cross and Blue Shield of Montana

81245, Flt3 (Fms-Related Tyrosine Kinase 3) (Eg Acute Myeloid Leukemia) Gene Analysis; Internal Tandem Duplication (Itd) Variants (Ie Exons 14 15), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81245
Description: Flt3 (Fms-Related Tyrosine Kinase 3) (Eg Acute Myeloid Leukemia) Gene Analysis; Internal Tandem Duplication (Itd) Variants (Ie Exons 14 15)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 112 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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