0170U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0170U, Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0170U
Description: Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis
Source: New Hampshire Precertification List, Pg 26 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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