0249U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0249U, Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, includes laser capture microdissection, with algorithmic analysis and interpretative report, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0249U
- Description
- Oncology (breast), semiquantitative analysis of 32 phosphoproteins and protein analytes, includes laser capture microdissection, with algorithmic analysis and interpretative report
- Source
- New Hampshire Precertification List, Pg 34 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization