81322 prior authorization | Premera Blue Cross of Washington
81322, PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant 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
- 81322
- Description
- PTEN (phosphatase and tensin homolog) (eg, Cowden syndrome, PTEN hamartoma tumor syndrome) gene analysis; known familial variant These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 469 Original policy