0088U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0088U, Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0088U
- Description
- Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection
- Source
- New Hampshire Precertification List, Pg 20 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization