81458 prior authorization | Premera Blue Cross of Washington

81458, Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability 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: 81458
Description: Solid organ neoplasm, genomic sequence analysis panel, interrogation for sequence variants; DNA analysis, copy number variants and microsatellite instability These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 490 Original policy

Premera Blue Cross of Washington prior authorization

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