81178 prior authorization | Premera Blue Cross of Washington
81178, ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles 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
- 81178
- Description
- ATXN1 (ataxin 1) (eg, spinocerebellar ataxia) gene analysis, evaluation to detect abnormal (eg, expanded) alleles These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 441 Original policy