0055U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0055U, Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0055U
- Description
- Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 2 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization