0005U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0005U, Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0005U
- Description
- Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG, PCA3, and SPDEF), urine, algorithm reported as risk score
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization