81400 prior authorization | Premera Blue Cross of Washington

81400, Molecular pathology procedure, Level 1(eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) 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: 81400
Description: Molecular pathology procedure, Level 1(eg, identification of single germline variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis) These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 478 Original policy

Premera Blue Cross of Washington prior authorization

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