Blue Cross and Blue Shield of Montana prior authorization 0090U

Blue Cross and Blue Shield of Montana prior authorization for 0090U: Oncology (Cutaneous Melanoma) Mrna Gene Expression Profiling By Rt-Pcr Of 23 Genes (14 Content And 9 Housekeeping) Utilizing Formalin-Fixed Paraffin- Embedded Tissue (Ffpe) Algorithm Reported As A Categorical Result (Ie Benign Intermediate Malignant)

Code: 0090U
Description: Oncology (Cutaneous Melanoma) Mrna Gene Expression Profiling By Rt-Pcr Of 23 Genes (14 Content And 9 Housekeeping) Utilizing Formalin-Fixed Paraffin- Embedded Tissue (Ffpe) Algorithm Reported As A Categorical Result (Ie Benign Intermediate Malignant)
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 174 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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