0046U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0046U, FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0046U
- Description
- FLT3 (fms-related tyrosine kinase 3) (eg, acute myeloid leukemia) internal tandem duplication (ITD) variants, quantitative
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization