0612U prior authorization | Blue Cross and Blue Shield of Montana
0612U, Oncology (liver), analysis of over 1,000 methylated regions, cell-free DNA from plasma, algorithm reported as a quantitative result, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- 0612U
- Description
- Oncology (liver), analysis of over 1,000 methylated regions, cell-free DNA from plasma, algorithm reported as a quantitative result
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 241 Original policy