0018M prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0018M, Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T- cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0018M
- Description
- Transplantation medicine (allograft rejection, renal), measurement of donor and third-party-induced CD154+T- cytotoxic memory cells, utilizing whole peripheral blood, algorithm reported as a rejection risk score
- Source
- New Hampshire Precertification List, Pg 16 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization