0465U prior authorization | Premera Blue Cross of Washington
0465U, Oncology (urothelial carcinoma), DNA, quantitative methylation-specific PCR of 2 genes (ONECUT2, VIM), algorithmic analysis reported as positive or negative, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0465U
- Description
- Oncology (urothelial carcinoma), DNA, quantitative methylation-specific PCR of 2 genes (ONECUT2, VIM), algorithmic analysis reported as positive or negative
- Source
- Clinical Review by Code List PBCWA, Pg 90 Original policy