81218 prior authorization | Premera Blue Cross of Washington
81218, CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence 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
- 81218
- Description
- CEBPA (CCAAT/enhancer binding protein [C/EBP], alpha) (eg, acute myeloid leukemia), gene analysis, full gene sequence These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 448 Original policy