0047U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0047U, Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0047U
- Description
- Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score
- Source
- New Hampshire Precertification List, Pg 18 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization