0133U prior authorization | Premera Blue Cross of Washington
0133U, Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure), is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0133U
- Description
- Hereditary prostate cancer-related disorders, targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure)
- Source
- Clinical Review by Code List PBCWA, Pg 31 Original policy