0045U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0045U, Oncology (breast ductal carcinoma in situ), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as recurrence score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0045U
- Description
- Oncology (breast ductal carcinoma in situ), mRNA, gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping), utilizing formalin- fixed paraffin-embedded tissue, algorithm reported as recurrence score
- Source
- New Hampshire Precertification List, Pg 18 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization