81284 prior authorization | Premera Blue Cross of Washington

81284, FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles 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: 81284
Description: FXN (frataxin) (eg, Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 461 Original policy

Premera Blue Cross of Washington prior authorization

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