81259 prior authorization | Premera Blue Cross of Washington
81259, HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81259
- Description
- HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg, alpha thalassemia, Hb Bart hydrops fetalis syndrome, HbH disease), gene analysis; full gene sequence
- Source
- Clinical Review by Code List PBCWA, Pg 456 Original policy