0413U prior authorization | Anthem Blue Cross and Blue Shield Virginia
0413U, Oncology (hematolymphoid neoplasm), optical genome mapping for copy number alterations, aneuploidy, and balanced/complex structural rearrangements, DNA from blood or bone marr, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- 0413U
- Description
- Oncology (hematolymphoid neoplasm), optical genome mapping for copy number alterations, aneuploidy, and balanced/complex structural rearrangements, DNA from blood or bone marr
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 6 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization