81542 prior authorization | Blue Cross Blue Shield Oklahoma

81542, Oncology (Prostate) Mrna Microarray Gene Expression Profiling Of 22 Content Genes Utilizing Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Metastasis Risk Score, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 81542
Description: Oncology (Prostate) Mrna Microarray Gene Expression Profiling Of 22 Content Genes Utilizing Formalin-Fixed Paraffin- Embedded Tissue Algorithm Reported As Metastasis Risk Score
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 94 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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