0020M prior authorization | Anthem Blue Cross Blue Shield of Georgia

0020M, Oncology (central nervous system), analysis of 30000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as pro, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0020M
Description: Oncology (central nervous system), analysis of 30000 DNA methylation loci by methylation array, utilizing DNA extracted from tumor tissue, diagnostic algorithm reported as pro
Source: Standard Local Prior Authorization Code List, Pg 65 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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