0403U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0403U, Oncology (prostate), mRNA, gene expression profiling of 18 genes, first-catch urine, algorithm reported as percentage of likelihood of detecting clinically significant prostat, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0403U
- Description
- Oncology (prostate), mRNA, gene expression profiling of 18 genes, first-catch urine, algorithm reported as percentage of likelihood of detecting clinically significant prostat
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization