0136U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0136U, ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure), is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0136U
- Description
- ATM (ataxia telangiectasia mutated) (eg, ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure)
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization