0267U prior authorization | Blue Cross and Blue Shield of Montana

0267U, Rare Constitutional And Other Heritable Disorders Identification Of Copy Number Variations Inversions Insertions Translocations And Other Structural Variants By Optical Genome Mapping And Whole Genome Sequencing, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0267U
Description: Rare Constitutional And Other Heritable Disorders Identification Of Copy Number Variations Inversions Insertions Translocations And Other Structural Variants By Optical Genome Mapping And Whole Genome Sequencing
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 196 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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