0242U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0242U, Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplif, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0242U
- Description
- Targeted genomic sequence analysis panel, solid organ neoplasm, cell-free circulating DNA analysis of 55-74 genes, interrogation for sequence variants, gene copy number amplif
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 4 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization