0493U prior authorization | Blue Shield of California Promise Health Plan
0493U, Transplantation medicine, quantification of donor-derived cell-free dna (cfdna) using next- generation sequencing, plasma, reported as percentage of donor-derived cell-free dna, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.
- Code
- 0493U
- Description
- Transplantation medicine, quantification of donor-derived cell-free dna (cfdna) using next- generation sequencing, plasma, reported as percentage of donor-derived cell-free dna
- Source
- Medi-Cal Prior Authorization List, Pg 15 Original policy
Blue Shield of California Promise Health Plan prior authorization