81243 prior authorization | Premera Blue Cross of Washington
81243, FMR1 (fragile X messenger ribonucleoprotein 1) (EG, fragile X syndrome, X-linked intellectual disability (XLID)) gene analysis; evaluation to detect abnormal (eg, expanded) alleles, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81243
- Description
- FMR1 (fragile X messenger ribonucleoprotein 1) (EG, fragile X syndrome, X-linked intellectual disability (XLID)) gene analysis; evaluation to detect abnormal (eg, expanded) alleles
- Source
- Clinical Review by Code List PBCWA, Pg 453 Original policy