0007M prior authorization | Premera Blue Cross of Washington

0007M, Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0007M
Description: Oncology (gastrointestinal neuroendocrine tumors), real-time PCR expression analysis of 51 genes, utilizing whole peripheral blood, algorithm reported as a nomogram of tumor disease index These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 13 Original policy

Premera Blue Cross of Washington prior authorization

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