Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0048U

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0048U: Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched with normal specimens, utilizing formalin-fixed paraffin-embedded tumor tissue, report of clinically significant mutation(s)

Code
0048U
Description
Oncology (solid organ neoplasia), DNA, targeted sequencing of protein-coding exons of 468 cancer-associated genes, including interrogation for somatic mutations and microsatellite instability, matched with normal specimens, utilizing formalin-fixed paraffin-embedded tumor tissue, report of clinically significant mutation(s)
Source
New Hampshire Precertification List, Pg 18 Original policy

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