81305 prior authorization | Premera Blue Cross of Washington

81305, MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81305
Description: MYD88 (myeloid differentiation primary response 88) (eg, Waldenstrom's macroglobulinemia, lymphoplasmacytic leukemia) gene analysis, p.Leu265Pro (L265P) variant
Source: Clinical Review by Code List PBCWA, Pg 465 Original policy

Premera Blue Cross of Washington prior authorization

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