81264 prior authorization | Premera Blue Cross of Washington

81264, IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B- cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81264
Description: IGK@ (Immunoglobulin kappa light chain locus) (eg, leukemia and lymphoma, B- cell), gene rearrangement analysis, evaluation to detect abnormal clonal population(s)
Source: Clinical Review by Code List PBCWA, Pg 458 Original policy

Premera Blue Cross of Washington prior authorization

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