0331U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0331U, Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code: 0331U
Description: Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations
Source: New Hampshire Precertification List, Pg 42 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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