0090U prior authorization | Anthem Blue Cross and Blue Shield Virginia

0090U, Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0090U
Description: Oncology (cutaneous melanoma), mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping), utilizing formalin-fixed paraffin-embedded (FFPE) tissue
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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