0425U prior authorization | Blue Cross and Blue Shield of Montana
0425U, Genome (Eg Unexplained Constitutional Or Heritable Disorder Or Syndrome) Rapid Sequence Analysis Each Comparator Genome (Eg Parents Siblings), is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 0425U
- Description
- Genome (Eg Unexplained Constitutional Or Heritable Disorder Or Syndrome) Rapid Sequence Analysis Each Comparator Genome (Eg Parents Siblings)
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 216 Original policy