0087U prior authorization | Blue Cross and Blue Shield of Montana

0087U, Cardiology (Heart Transplant) Mrna Gene Expression Profiling By Microarray Of 1283 Genes Transplant Biopsy Tissue Allograft Rejection And Injury Algorithm Reported As A Probability Score, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0087U
Description: Cardiology (Heart Transplant) Mrna Gene Expression Profiling By Microarray Of 1283 Genes Transplant Biopsy Tissue Allograft Rejection And Injury Algorithm Reported As A Probability Score
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 173 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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