81464 prior authorization | Premera Blue Cross of Washington

81464, Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid, interrogation for sequence variants; DNA analysis or combined DNA & RNA analysis, copy number variants, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 81464
Description: Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid, interrogation for sequence variants; DNA analysis or combined DNA & RNA analysis, copy number variants
Source: Clinical Review by Code List PBCWA, Pg 492 Original policy

Premera Blue Cross of Washington prior authorization

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