0022U prior authorization | Blue Cross and Blue Shield of Montana

0022U, Targeted Genomic Sequence Analysis Panel Nonsmall Cell Lung Neoplasia Dna And Rna Analysis 23 Genes Interrogation For Sequence Variants And Rearrangements Reported As Presence/- Or Absence Of Variants And Associated Therapy(Ies) To Consider, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0022U
Description: Targeted Genomic Sequence Analysis Panel Nonsmall Cell Lung Neoplasia Dna And Rna Analysis 23 Genes Interrogation For Sequence Variants And Rearrangements Reported As Presence/- Or Absence Of Variants And Associated Therapy(Ies) To Consider
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 166 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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