81417 prior authorization | Blue Cross and Blue Shield of Montana
81417, Exome (Eg Unexplained Constitutional Or Heritable Disorder Or Syndrome); Re- Evaluation Of Previously Obtained Exome Sequence (Eg Updated Knowledge Or Unrelated Condition/Syndrome), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 81417
- Description
- Exome (Eg Unexplained Constitutional Or Heritable Disorder Or Syndrome); Re- Evaluation Of Previously Obtained Exome Sequence (Eg Updated Knowledge Or Unrelated Condition/Syndrome)
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 142 Original policy