0118U prior authorization | Blue Cross and Blue Shield of Montana

0118U, Transplantation Medicine Quantification Of Donor-Derived Cell-Free Dna Using Whole Genome Next-Generation Sequencing Plasma Reported As Percentage Of Donor-Derived Cell-Free Dna In The Total Cell-Free Dna, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0118U
Description: Transplantation Medicine Quantification Of Donor-Derived Cell-Free Dna Using Whole Genome Next-Generation Sequencing Plasma Reported As Percentage Of Donor-Derived Cell-Free Dna In The Total Cell-Free Dna
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 177 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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