0641U prior authorization | Premera Blue Cross of Washington
0641U, Oncology (minimal residual disease [MRD]), tumor DNA, next-generation sequencing (NGS), using formalin-fixed paraffin-embedded (FFPE) tissue and blood samples, initial (baseline) assessment, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.
- Code
- 0641U
- Description
- Oncology (minimal residual disease [MRD]), tumor DNA, next-generation sequencing (NGS), using formalin-fixed paraffin-embedded (FFPE) tissue and blood samples, initial (baseline) assessment
- Source
- Clinical Review by Code List PBCWA, Pg 138 Original policy