0376U prior authorization | Anthem Blue Cross Blue Shield of Colorado
0376U, Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prost, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.
- Code
- 0376U
- Description
- Oncology (prostate cancer), image analysis of at least 128 histologic features and clinical factors, prognostic algorithm determining the risk of distant metastases, and prost
- Source
- Colorado Prior Authorization List, Pg 128 Original policy
Anthem Blue Cross Blue Shield of Colorado prior authorization