0540U prior authorization | Blue Cross and Blue Shield of Montana

0540U, Transplantation Medicine, Quantification Of Donor-Derived Cell-Free Dna Using Next- Generation Sequencing Analysis Of Plasma, Reported As Percentage Of Donor- Derived Cell-Free Dna To Determine Probability Of Rejection, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.

Code: 0540U
Description: Transplantation Medicine, Quantification Of Donor-Derived Cell-Free Dna Using Next- Generation Sequencing Analysis Of Plasma, Reported As Percentage Of Donor- Derived Cell-Free Dna To Determine Probability Of Rejection
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 231 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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