0264U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0264U, Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0264U
Description: Rare diseases (constitutional/heritable disorders), identification of copy number variations, inversions, insertions, translocations, and other structural variants by optical genome mapping
Source: New Hampshire Precertification List, Pg 35 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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