Anthem Blue Cross Blue Shield of Georgia prior authorization 0333U

Anthem Blue Cross Blue Shield of Georgia 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: Standard Local Prior Authorization Code List, Pg 73 Original policy

Anthem Blue Cross Blue Shield of Georgia prior authorization

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