0389U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0389U, Pediatric febrile illness (Kawasaki disease [KD]), interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1), RNA, using reverse transc, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0389U
- Description
- Pediatric febrile illness (Kawasaki disease [KD]), interferon alpha-inducible protein 27 (IFI27) and mast cell-expressed membrane protein 1 (MCEMP1), RNA, using reverse transc
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization