0331U prior authorization | Premera Blue Cross of Washington

0331U, Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0331U
Description: Oncology (hematolymphoid neoplasia), optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow, report of clinically significant alterations
Source: Clinical Review by Code List PBCWA, Pg 67 Original policy

Premera Blue Cross of Washington prior authorization

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