0422U prior authorization | Premera Blue Cross of Washington
0422U, Oncology (pan-solid tumor) analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0422U
- Description
- Oncology (pan-solid tumor) analysis of DNA biomarker response to anti-cancer therapy using cell-free circulating DNA, biomarker comparison to a previous baseline pre-treatment
- Source
- Clinical Review by Code List PBCWA, Pg 83 Original policy