Anthem Blue Cross and Blue Shield New Hampshire policy
LAB.00015 Detection of Circulating Tumor Cells
LAB.00015 Detection of Circulating Tumor Cells is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy LAB.00015). It lists 8 CPT or HCPCS codes, 5 of them on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- LAB.00015
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield New Hampshire policies |
|---|---|---|---|
| 0091U | Not listed | Policies naming 0091U | |
| 0337U | On the list | Oncology (plasma cell disorders and myeloma), circulating plasma cell immunologic selection, identification, morphological characterization, and enumeration of plasma cells based on differential CD138, CD38, CD19, and CD45 protein biomarker expression, peripheral blood | Policies naming 0337U |
| 0338U | On the list | Oncology (solid tumor), circulating tumor cell selection, identification, morphological characterization, detection and enumeration based on differential EpCAM, cytokeratins 8, 18, and 19, and CD45 protein biomarkers, and quantification of HER2 protein biomarker- expressing cells, peripheral blood | Policies naming 0338U |
| 0490U | On the list | Oncology (cutaneous or uveal melanoma), circulating tumor cell selection, morphological characterization and enumeration based on differential CD146, high molecular-weight mel | Policies naming 0490U |
| 0491U | On the list | Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytok | Policies naming 0491U |
| 0492U | On the list | Oncology (solid tumor), circulating tumor cell selection, morphological characterization and enumeration based on differential epithelial cell adhesion molecule (EpCAM), cytok | Policies naming 0492U |
| 86152 | Not listed | Policies naming 86152 | |
| 86153 | Not listed | Policies naming 86153 |
All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire prior authorization CPT list