81417 prior authorization | Premera Blue Cross of Washington
81417, Exome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81417
- Description
- Exome (eg, unexplained constitutional or heritable disorder or syndrome); re- evaluation of previously obtained exome sequence (eg, updated knowledge or unrelated condition/syndrome)
- Source
- Clinical Review by Code List PBCWA, Pg 483 Original policy