0389U prior authorization | Anthem Blue Cross Blue Shield of California
0389U, KawasakiDx, OncoOmicsDx Laboratory from mProbe. The test evaluates a patient blood specimen for RNA expression of two genes listed in the code and reports a risk score for Kawasaki disease (KD), a fever of unknown origin in children., is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 0389U
- Description
- KawasakiDx, OncoOmicsDx Laboratory from mProbe. The test evaluates a patient blood specimen for RNA expression of two genes listed in the code and reports a risk score for Kawasaki disease (KD), a fever of unknown origin in children.
- Source
- California PPO Prior Authorization List, Pg 149 Original policy
Anthem Blue Cross Blue Shield of California prior authorization