0050U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0050U, Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0050U
Description: Targeted genomic sequence analysis panel, acute myelogenous leukemia, DNA analysis, 194 genes, interrogation for sequence variants, copy number variants or rearrangements
Source: New Hampshire Precertification List, Pg 18 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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