81349 prior authorization | Premera Blue Cross of Washington

81349, Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81349
Description: Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants, low-pass sequencing analysis
Source: Clinical Review by Code List PBCWA, Pg 476 Original policy

Premera Blue Cross of Washington prior authorization

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