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S3852 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S3852: DNA analysis for apoe epilson 4 allele for susceptibility to Alzheimer's disease. Imported Anthem Blue Cross and Blue Shield Virginia HMO/EPO source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.

Code
S3852
Description
DNA analysis for apoe epilson 4 allele for susceptibility to Alzheimer's disease
Source
Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 81 Original policy

Anthem Blue Cross and Blue Shield Virginia prior authorization

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