0356U prior authorization | Premera Blue Cross of Washington
0356U, Oncology (oropharyngeal or anal), evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR), cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0356U
- Description
- Oncology (oropharyngeal or anal), evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR), cell-free DNA, algorithm reported as a prognostic risk score for cancer recurrence
- Source
- Clinical Review by Code List PBCWA, Pg 72 Original policy