0228U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0228U, Oncology (prostate), multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning, utilizing first morning voided urine, algorithm reported as likelihood of prostate cancer, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0228U
Description: Oncology (prostate), multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning, utilizing first morning voided urine, algorithm reported as likelihood of prostate cancer
Source: New Hampshire Precertification List, Pg 31 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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