81439 prior authorization | Blue Cross and Blue Shield of Montana

81439, Hereditary Cardiomyopathy (Eg Hypertrophic Cardiomyopathy Dilated Cardiomyopathy Arrhythmogenic Right Ventricular Cardiomyopathy) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 5 Cardiomyopathy- Related Genes (Eg Dsg2 Mybpc3 Myh7 Pkp2 Ttn), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 81439
Description: Hereditary Cardiomyopathy (Eg Hypertrophic Cardiomyopathy Dilated Cardiomyopathy Arrhythmogenic Right Ventricular Cardiomyopathy) Genomic Sequence Analysis Panel Must Include Sequencing Of At Least 5 Cardiomyopathy- Related Genes (Eg Dsg2 Mybpc3 Myh7 Pkp2 Ttn)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 145 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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