0006M prior authorization | Premera Blue Cross of Washington
0006M, Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0006M
- Description
- Oncology (hepatic), mRNA expression levels of 161 genes, utilizing fresh hepatocellular carcinoma tumor tissue, with alpha-fetoprotein level, algorithm reported as a risk classifier
- Source
- Clinical Review by Code List PBCWA, Pg 13 Original policy