81184 prior authorization | Premera Blue Cross of Washington

81184, CACNA1A (calcium voltage-gated channel subunit alpha1 A) (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: 81184
Description: CACNA1A (calcium voltage-gated channel subunit alpha1 A) (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 442 Original policy

Premera Blue Cross of Washington prior authorization

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