0412U prior authorization | Anthem Blue Cross and Blue Shield Virginia

0412U, Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform- specific prot, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: 0412U
Description: Beta amyloid, AB42/40 ratio, immunoprecipitation with quantitation by liquid chromatography with tandem mass spectrometry (LC-MS/MS) and qualitative ApoE isoform- specific prot
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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