0452U prior authorization | Blue Cross Blue Shield Oklahoma

0452U, Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation- specific real-time PCR (LTE-qMSP), urine, reported as likelihood of bladder cancer, is on the Blue Cross Blue Shield Oklahoma commercial prior authorization list. Not a coverage or referral decision.

Code: 0452U
Description: Oncology (bladder), methylated PENK DNA detection by linear target enrichment-quantitative methylation- specific real-time PCR (LTE-qMSP), urine, reported as likelihood of bladder cancer
Source: 2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 140 Original policy

Blue Cross Blue Shield Oklahoma prior authorization

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