0333U prior authorization | Blue Cross and Blue Shield of Montana
0333U, Oncology (Liver) Surveillance For Hepatocellular Carcinoma (Hcc) In Highrisk Patients Analysis Of Methylation Patterns On Circulating Cell-Free Dna (Cfdna) Plus Measurement Of Serum Of Afp/Afp-L3 And Oncoprotein Des- Gammacarboxy-Prothrombin (Dcp) Algorithm Reported As Normal Or Abnormal Result, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 0333U
- Description
- Oncology (Liver) Surveillance For Hepatocellular Carcinoma (Hcc) In Highrisk Patients Analysis Of Methylation Patterns On Circulating Cell-Free Dna (Cfdna) Plus Measurement Of Serum Of Afp/Afp-L3 And Oncoprotein Des- Gammacarboxy-Prothrombin (Dcp) Algorithm Reported As Normal Or Abnormal Result
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 205 Original policy