0153U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0153U, Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a tripl, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0153U
- Description
- Oncology (breast), mRNA, gene expression profiling by next-generation sequencing of 101 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a tripl
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization