S3870 prior authorization | Anthem Blue Cross Blue Shield of California

S3870, Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability, is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: S3870
Description: Comparative genomic hybridization (CGH) microarray testing for developmental delay, autism spectrum disorder and/or intellectual disability
Source: California PPO Prior Authorization List, Pg 173 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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