81422 prior authorization | Blue Cross and Blue Shield of Montana

81422, Fetal Chromosomal Microdeletion(S) Genomic Sequence Analysis (Eg Digeorge Syndrome Cri-Du-Chat Syndrome) Circulating Cell-Free Fetal Dna In Maternal Blood, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81422
Description: Fetal Chromosomal Microdeletion(S) Genomic Sequence Analysis (Eg Digeorge Syndrome Cri-Du-Chat Syndrome) Circulating Cell-Free Fetal Dna In Maternal Blood
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 142 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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