81228* prior authorization | Cigna

81228*, Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis, is on the Cigna prior authorization list. Not a coverage or referral decision.

Code: 81228*
Description: Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants, comparative genomic hybridization [CGH] microarray analysis
Source: Master Precertification List For Health Care Providers, Pg 61 Original policy

Cigna prior authorization

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