0088U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0088U, Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0088U
Description: Transplantation medicine (kidney allograft rejection), microarray gene expression profiling of 1494 genes, utilizing transplant biopsy tissue, algorithm reported as a probability score for rejection
Source: Standard Local Prior Authorization Code List, Pg 108 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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