0177U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0177U, Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma, reported as, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0177U
- Description
- Oncology (breast cancer), DNA, PIK3CA (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma, reported as
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 3 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization