0652U prior authorization | Premera Blue Cross of Washington

0652U, Drug metabolism (adverse drug reactions), DNA analysis of 13 genes by targeted genotyping, using saliva or buccal swab, reported as diplotype and metabolizer status, is on the Premera Blue Cross of Washington prior authorization list. Not a coverage or referral decision.

Code: 0652U
Description: Drug metabolism (adverse drug reactions), DNA analysis of 13 genes by targeted genotyping, using saliva or buccal swab, reported as diplotype and metabolizer status
Source: Clinical Review by Code List PBCWA, Pg 141 Original policy

Premera Blue Cross of Washington prior authorization

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