0053U prior authorization | Anthem Blue Cross and Blue Shield Nevada
0053U, Oncology (prostate cancer), FISH analysis of 4 genes (ASAP1, HDAC9, CHD1 and PTEN), needle biopsy specimen, algorithm reported as probability of higher tumor grade, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.
- Code
- 0053U
- Description
- Oncology (prostate cancer), FISH analysis of 4 genes (ASAP1, HDAC9, CHD1 and PTEN), needle biopsy specimen, algorithm reported as probability of higher tumor grade
- Source
- Nevada Prior Authorization List, Pg 110 Original policy
Anthem Blue Cross and Blue Shield Nevada prior authorization