0172U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0172U, Oncology (solid tumor as indicated by the label), somatic mutation analysis of BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) and analysis of homol, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0172U
- Description
- Oncology (solid tumor as indicated by the label), somatic mutation analysis of BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) and analysis of homol
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization