0286U prior authorization | Premera Blue Cross of Washington
0286U, CEP72 (centrosomal protein, 72-KDa), NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0286U
- Description
- CEP72 (centrosomal protein, 72-KDa), NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg, drug metabolism) gene analysis, common variants
- Source
- Clinical Review by Code List PBCWA, Pg 59 Original policy