0403U prior authorization | Anthem Blue Cross and Blue Shield New Hampshire
0403U, Oncology (prostate), mRNA, gene expression profiling of 18 genes, first- catch urine, algorithm reported as percentage of likelihood of detecting clinically significant prostate cancer, is on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage or referral decision.
- Code
- 0403U
- Description
- Oncology (prostate), mRNA, gene expression profiling of 18 genes, first- catch urine, algorithm reported as percentage of likelihood of detecting clinically significant prostate cancer
- Source
- New Hampshire Precertification List, Pg 51 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization