Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0364U
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0364U: Oncology (hematolymphoid neoplasm), genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm, quantification of dominant clonal sequence(s), reported as presence or absence of minimal residual disease (MRD) with quantitation of disease burden, when appropriate
- Code
- 0364U
- Description
- Oncology (hematolymphoid neoplasm), genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm, quantification of dominant clonal sequence(s), reported as presence or absence of minimal residual disease (MRD) with quantitation of disease burden, when appropriate
- Source
- New Hampshire Precertification List, Pg 47 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization