Anthem Blue Cross and Blue Shield Virginia policy
LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate Cancer
LAB.00033 Protein Biomarkers for the Screening, Detection and Management of Prostate Cancer is a public Anthem Blue Cross and Blue Shield Virginia policy (policy LAB.00033). It lists 7 CPT or HCPCS codes, 3 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- LAB.00033
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 0228U | Not listed | Policies naming 0228U | |
| 0359U | On the list | Oncology (prostate cancer), analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay, plasma, algorithm reports risk of cancer | Policies naming 0359U |
| 0495U | Not listed | Policies naming 0495U | |
| 0591U | Not listed | Policies naming 0591U | |
| 0609U | Not listed | Policies naming 0609U | |
| 81479 | On the list | Unlisted molecular pathology procedure | Policies naming 81479 |
| 81539 | On the list | Oncology (high-grade prostate cancer), biochemical assay of four proteins (Total PSA, Free PSA, Intact PSA, and human kallikrein-2 hK2), utilizing plasma or serum, prognostic | Policies naming 81539 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list