Blue Cross and Blue Shield of Montana prior authorization 0155U
Blue Cross and Blue Shield of Montana prior authorization for 0155U: Oncology (Breast Cancer) Dna Pik3Ca (Phosphatidylinositol-4 5-Bisphosphate 3- Kinase Catalytic Subunit Alpha) (Eg Breast Cancer) Gene Analysis (Ie P.C420R P.E542K P.E545A P.E545D [G.1635G>T Only] P.E545G P.E545K P.Q546E P.Q546R P.H1047L P.H1047R P.H1047Y) Utilizing Formalin-Fixed Paraffin- Embedded Breast Tumor Tissue Reported As Pik3Ca Gene Mutation Status
- Code
- 0155U
- Description
- Oncology (Breast Cancer) Dna Pik3Ca (Phosphatidylinositol-4 5-Bisphosphate 3- Kinase Catalytic Subunit Alpha) (Eg Breast Cancer) Gene Analysis (Ie P.C420R P.E542K P.E545A P.E545D [G.1635G>T Only] P.E545G P.E545K P.Q546E P.Q546R P.H1047L P.H1047R P.H1047Y) Utilizing Formalin-Fixed Paraffin- Embedded Breast Tumor Tissue Reported As Pik3Ca Gene Mutation Status
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 181 Original policy