0017M prior authorization | Anthem Blue Cross Blue Shield of Colorado
0017M, Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin- embedded tissue, algo, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 0017M
- Description
- Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin- embedded tissue, algo
- Source
- Colorado Prior Authorization List, Pg 117 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization