81337 prior authorization | Premera Blue Cross of Washington
81337, SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) 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
- 81337
- Description
- SMN1 (survival of motor neuron 1, telomeric) (eg, spinal muscular atrophy) gene analysis; known familial sequence variant(s) These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 472 Original policy