0576U prior authorization | Anthem Blue Cross Blue Shield of Georgia

0576U, Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome next-generation sequencing, plasma and mRNA gene express, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.

Code: 0576U
Description: Transplantation medicine (liver allograft rejection), quantitative donor-derived cell-free DNA (cfDNA) by whole genome next-generation sequencing, plasma and mRNA gene express
Source: Standard Local Prior Authorization Code List, Pg 80 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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