0255U prior authorization | Anthem Blue Cross and Blue Shield Nevada

0255U, Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of c, is on the Anthem Blue Cross and Blue Shield Nevada prior authorization list. Not a coverage or referral decision.

Code: 0255U
Description: Andrology (infertility), sperm-capacitation assessment of ganglioside GM1 distribution patterns, fluorescence microscopy, fresh or frozen specimen, reported as percentage of c
Source: Nevada Prior Authorization List, Pg 116 Original policy

Anthem Blue Cross and Blue Shield Nevada prior authorization

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