0565U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0565U, Oncology (hepatocellular carcinoma), next- generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cell-free DNA, plasma, algorithm reported as c, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0565U
Description: Oncology (hepatocellular carcinoma), next- generation sequencing methylation pattern assay to detect 6626 epigenetic alterations, cell-free DNA, plasma, algorithm reported as c
Source: Standard Local Prior Authorization Code List, Pg 79 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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