81263 prior authorization | Premera Blue Cross of Washington
81263, IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis 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
- 81263
- Description
- IGH@ (Immunoglobulin heavy chain locus) (eg, leukemia and lymphoma, B-cell), variable region somatic mutation analysis These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 457 Original policy