0452U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0452U, Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP), urine, reported as likelihood of blad, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0452U
Description: Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation-specific real-time PCR (LTE-qMSP), urine, reported as likelihood of blad
Source: Standard Local Prior Authorization Code List, Pg 76 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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