0118U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0118U, Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0118U
Description: Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA in the total cell-free DNA
Source: New Hampshire Precertification List, Pg 23 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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