0378U prior authorization | Premera Blue Cross of Washington
0378U, RFC1 (replication factor C subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab These criteria do not imply or guarantee approval., is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0378U
- Description
- RFC1 (replication factor C subunit 1), repeat expansion variant analysis by traditional and repeat-primed PCR, blood, saliva, or buccal swab These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 76 Original policy