0089U prior authorization | Premera Blue Cross of Washington
0089U, Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) 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
- 0089U
- Description
- Oncology (melanoma), gene expression profiling by RTqPCR, PRAME and LINC00518, superficial collection using adhesive patch(es) These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 25 Original policy