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0362U prior authorization | Anthem Blue Cross Blue Shield of California

0362U, Oncology (papillary thyroid cancer), gene expression profiling via targeted hybrid capture-enrichment RNA sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as one of three molecular subtypes. The test evaluates a formalin- fixed paraffin-embedded (FFPE) tissue specimen from a patient with papillary thyroid cancer for expression of 82 genes and uses an algorithmic analysis to classify the molecular subtype as it relates to risk of recurrence., is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code
0362U
Description
Oncology (papillary thyroid cancer), gene expression profiling via targeted hybrid capture-enrichment RNA sequencing of 82 content genes and 10 housekeeping genes, formalin-fixed paraffin-embedded (FFPE) tissue, algorithm reported as one of three molecular subtypes. The test evaluates a formalin- fixed paraffin-embedded (FFPE) tissue specimen from a patient with papillary thyroid cancer for expression of 82 genes and uses an algorithmic analysis to classify the molecular subtype as it relates to risk of recurrence.
Source
California PPO Prior Authorization List, Pg 149 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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