81493 prior authorization | Premera Blue Cross of Washington
81493, Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81493
- Description
- Coronary artery disease, mRNA, gene expression profiling by real-time RT-PCR of 23 genes, utilizing whole peripheral blood, algorithm reported as a risk score
- Source
- Clinical Review by Code List PBCWA, Pg 493 Original policy