0120U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0120U, Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixe, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0120U
- Description
- Oncology (B-cell lymphoma classification), mRNA, gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes), formalin-fixe
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization