0286U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0286U, CEP72 (centrosomal protein, 72-KDa), NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0286U
Description: CEP72 (centrosomal protein, 72-KDa), NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants
Source: New Hampshire Precertification List, Pg 38 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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