0113U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0113U, Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0113U
- Description
- Oncology (prostate), measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage, by RNA amplification and fluorescence-based detection, algorithm reported as risk score
- Source
- New Hampshire Precertification List, Pg 23 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization