81542 prior authorization | Premera Blue Cross of Washington
81542, Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 81542
- Description
- Oncology (prostate), mRNA, microarray gene expression profiling of 22 content genes, utilizing formalin-fixed paraffin- embedded tissue, algorithm reported as metastasis risk score
- Source
- Clinical Review by Code List PBCWA, Pg 498 Original policy