0169U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0169U, NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0169U
Description: NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants
Source: Standard Local Prior Authorization Code List, Pg 68 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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