0209U prior authorization | Premera Blue Cross of Washington

0209U, Cytogenomic constitutional (genome-wide) analysis, interrogation of genomic regions for copy number, structural changes and areas of homozygosity for chromosomal abnormalities, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0209U
Description: Cytogenomic constitutional (genome-wide) analysis, interrogation of genomic regions for copy number, structural changes and areas of homozygosity for chromosomal abnormalities
Source: Clinical Review by Code List PBCWA, Pg 42 Original policy

Premera Blue Cross of Washington prior authorization

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