0286U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0286U, CEP72 (centrosomal protein, 72-KDa), 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
- 0286U
- Description
- CEP72 (centrosomal protein, 72-KDa), 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 5 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization