81165 prior authorization | Premera Blue Cross of Washington
81165, BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81165
- Description
- BRCA1 (BRCA1, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene analysis; full sequence analysis These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 438 Original policy