0534U prior authorization | Premera Blue Cross of Washington

0534U, Oncology (prostate), microRNA, single- nucleotide polymorphisms (SNPs) analysis by RT-PCR of 32 variants, using buccal swab, algorithm reported as a risk score, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0534U
Description: Oncology (prostate), microRNA, single- nucleotide polymorphisms (SNPs) analysis by RT-PCR of 32 variants, using buccal swab, algorithm reported as a risk score
Source: Clinical Review by Code List PBCWA, Pg 108 Original policy

Premera Blue Cross of Washington prior authorization

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