0553U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0553U, Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrang, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0553U
Description: Reproductive medicine (preimplantation genetic assessment), analysis of 24 chromosomes using DNA genomic sequence analysis from embryonic trophectoderm for structural rearrang
Source: Standard Local Prior Authorization Code List, Pg 79 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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