81352 prior authorization | Premera Blue Cross of Washington

81352, TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) 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: 81352
Description: TP53 (tumor protein 53) (eg, Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg, 4 oncology) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 476 Original policy

Premera Blue Cross of Washington prior authorization

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