0169U prior authorization | Anthem Blue Cross and Blue Shield Virginia

0169U, NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0169U
Description: NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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