81278 prior authorization | Premera Blue Cross of Washington

81278, IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81278
Description: IGH@/BCL2 (t(14;18)) (eg, follicular lymphoma) translocation analysis, major breakpoint region (MBR) and minor cluster region (mcr) breakpoints, qualitative or quantitative
Source: Clinical Review by Code List PBCWA, Pg 461 Original policy

Premera Blue Cross of Washington prior authorization

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