81206 prior authorization | Premera Blue Cross of Washington

81206, BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative 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: 81206
Description: BCR/ABL1 (t(9;22)) (eg, chronic myelogenous leukemia) translocation analysis; major breakpoint, qualitative or quantitative These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 446 Original policy

Premera Blue Cross of Washington prior authorization

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