0011M prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0011M, Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0011M
- Description
- Oncology, prostate cancer, mRNA expression assay of 12 genes (10 content and 2 housekeeping), RT-PCR test utilizing blood plasma and urine, algorithms to predict high-grade prostate cancer risk
- Source
- New Hampshire Precertification List, Pg 15 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization