0540U prior authorization | Premera Blue Cross of Washington
0540U, Transplantation medicine, quantification of donor-derived cell-free DNA using next- generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine probability of rejection, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0540U
- Description
- Transplantation medicine, quantification of donor-derived cell-free DNA using next- generation sequencing analysis of plasma, reported as percentage of donor-derived cell-free DNA to determine probability of rejection
- Source
- Clinical Review by Code List PBCWA, Pg 109 Original policy