0507U prior authorization | Premera Blue Cross of Washington

0507U, Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using 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: 0507U
Description: Oncology (ovarian), DNA, whole-genome sequencing with 5-hydroxymethylcytosine (5hmC) enrichment, using whole blood or plasma, algorithm reported as cancer detected or not detected
Source: Clinical Review by Code List PBCWA, Pg 102 Original policy

Premera Blue Cross of Washington prior authorization

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