81273 prior authorization | Premera Blue Cross of Washington

81273, KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) 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: 81273
Description: KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg, mastocytosis), gene analysis, D816 variant(s) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 459 Original policy

Premera Blue Cross of Washington prior authorization

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