Anthem Blue Cross Blue Shield of California prior authorization 0665U

Anthem Blue Cross Blue Shield of California prior authorization for 0665U: Hepatology (metabolic dysfunction-associated steatohepatitis [MASH]), enzyme-linked immunosorbent assay (ELISA) for YKL40 and quantitative reverse transcription polymerase chain reaction (RT-qPCR) for miR-34a-5p, serum, algorithm reported as a single score for MASH activity and fibrosis

Code: 0665U
Description: Hepatology (metabolic dysfunction-associated steatohepatitis [MASH]), enzyme-linked immunosorbent assay (ELISA) for YKL40 and quantitative reverse transcription polymerase chain reaction (RT-qPCR) for miR-34a-5p, serum, algorithm reported as a single score for MASH activity and fibrosis
Source: California PPO Prior Authorization List, Pg 21 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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