0087U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0087U, Cardiology (heart transplant), mRNA gene expression profiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0087U
- Description
- Cardiology (heart transplant), mRNA gene expression profiling by microarray of 1283 genes, transplant biopsy tissue, allograft rejection and injury algorithm reported as a probability score
- Source
- New Hampshire Precertification List, Pg 20 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization