Anthem Blue Cross and Blue Shield New Hampshire prior authorization 0389U
Anthem Blue Cross and Blue Shield New Hampshire prior authorization for 0389U: Pediatric febrile illness (Kawasaki disease [KD]), interferon alpha-inducible protein 27 (IFI27) and mast cell- expressed membrane protein 1 (MCEMP1), RNA, using quantitative reverse transcription polymerase chain reaction (RT-qPCR), blood, reported as a risk score for KD
- Code
- 0389U
- Description
- Pediatric febrile illness (Kawasaki disease [KD]), interferon alpha-inducible protein 27 (IFI27) and mast cell- expressed membrane protein 1 (MCEMP1), RNA, using quantitative reverse transcription polymerase chain reaction (RT-qPCR), blood, reported as a risk score for KD
- Source
- New Hampshire Precertification List, Pg 50 Original policy
Anthem Blue Cross and Blue Shield New Hampshire prior authorization