0509U prior authorization | Blue Shield of California Promise Health Plan
0509U, Transplantation medicine, quantification of donor-derived cell-free dna using up to 12 single-nucleotide polymorphisms (snps) previously identified, plasma, reported as percentage of donor-derived cell-free dna with risk for active rejection, is on the Blue Shield of California Promise Health Plan Medi-Cal prior authorization list. Not a coverage or referral decision.
- Code
- 0509U
- Description
- Transplantation medicine, quantification of donor-derived cell-free dna using up to 12 single-nucleotide polymorphisms (snps) previously identified, plasma, reported as percentage of donor-derived cell-free dna with risk for active rejection
- Source
- Medi-Cal Prior Authorization List, Pg 16 Original policy
Blue Shield of California Promise Health Plan prior authorization