Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0333U

Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0333U: Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high- risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des- gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result

Code: 0333U
Description: Oncology (liver), surveillance for hepatocellular carcinoma (HCC) in high- risk patients, analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des- gamma-carboxy-prothrombin (DCP), algorithm reported as normal or abnormal result
Source: New Hampshire Precertification List, Pg 43 Original policy

Anthem Blue Cross and Blue Shield New Hampshire prior authorization

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