0493U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0493U, Transplantation medicine, quantification of donor- derived cell-free DNA (cfDNA) using next- generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0493U
Description: Transplantation medicine, quantification of donor- derived cell-free DNA (cfDNA) using next- generation sequencing, plasma, reported as percentage of donor-derived cell-free DNA
Source: Standard Local Prior Authorization Code List, Pg 77 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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