0403U prior authorization | Premera Blue Cross of Washington
0403U, Oncology (prostate), MRNA, gene expression profiling of 18 genes, first-catch post-digital rectal exam urine, algorithm reported as percentage of detecting prostate cancer, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0403U
- Description
- Oncology (prostate), MRNA, gene expression profiling of 18 genes, first-catch post-digital rectal exam urine, algorithm reported as percentage of detecting prostate cancer
- Source
- Clinical Review by Code List PBCWA, Pg 80 Original policy