Blue Cross and Blue Shield of Montana prior authorization 0265U

Blue Cross and Blue Shield of Montana prior authorization for 0265U: Rare Constitutional And Other Heritable Disorders Whole Genome And Mitochondrial Dna Sequence Analysis Blood Frozen And Formalin-Fixed Paraffin- Embedded (Ffpe) Tissue Saliva Buccal Swabs Or Cell Lines Identification Of Single Nucleotide And Copy Number Variants

Code: 0265U
Description: Rare Constitutional And Other Heritable Disorders Whole Genome And Mitochondrial Dna Sequence Analysis Blood Frozen And Formalin-Fixed Paraffin- Embedded (Ffpe) Tissue Saliva Buccal Swabs Or Cell Lines Identification Of Single Nucleotide And Copy Number Variants
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 196 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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