0016M prior authorization | Anthem Blue Cross and Blue Shield Virginia
0016M, Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (lumina, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0016M
- Description
- Oncology (bladder), mRNA, microarray gene expression profiling of 219 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as molecular subtype (lumina
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization