0006M prior authorization | Anthem Blue Cross and Blue Shield Virginia
0006M, Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk clas, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0006M
- Description
- Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk clas
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization