0055U prior authorization | Premera Blue Cross of Washington

0055U, Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0055U
Description: Cardiology (heart transplant), cell-free DNA, PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets), plasma
Source: Clinical Review by Code List PBCWA, Pg 22 Original policy

Premera Blue Cross of Washington prior authorization

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