81255 prior authorization | Blue Cross and Blue Shield of Montana

81255, Hexa (Hexosaminidase A [Alpha Polypeptide]) (Eg Tay-Sachs Disease) Gene Analysis Common Variants (Eg 1278Instatc 1421+1G>C G269S), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81255
Description: Hexa (Hexosaminidase A [Alpha Polypeptide]) (Eg Tay-Sachs Disease) Gene Analysis Common Variants (Eg 1278Instatc 1421+1G>C G269S)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 113 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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