81202 prior authorization | Premera Blue Cross of Washington
81202, APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants 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
- 81202
- Description
- APC (adenomatous polyposis coli) (eg, familial adenomatosis polyposis [FAP], attenuated FAP) gene analysis; known familial variants These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 445 Original policy