0410U prior authorization | Premera Blue Cross of Washington
0410U, Oncology (pancreatic), DNA, whole genome sequencing with 5- hydroxymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0410U
- Description
- Oncology (pancreatic), DNA, whole genome sequencing with 5- hydroxymethylcytosine enrichment, whole blood or plasma, algorithm reported as cancer detected or not detected
- Source
- Clinical Review by Code List PBCWA, Pg 81 Original policy