81325 prior authorization | Premera Blue Cross of Washington

81325, PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81325
Description: PMP22 (peripheral myelin protein 22) (eg, Charcot-Marie-Tooth, hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis
Source: Clinical Review by Code List PBCWA, Pg 470 Original policy

Premera Blue Cross of Washington prior authorization

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