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0333U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire

0333U, Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high- risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des- gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.

Code
0333U
Description
Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high- risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des- gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result
Source
New Hampshire Precertification List, Pg 43 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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