0020M prior authorization | Anthem Blue Cross and Blue Shield Virginia

0020M, Oncology (central nervous system), analysis of 30000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as pro, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0020M
Description: Oncology (central nervous system), analysis of 30000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as pro
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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