Blue Cross and Blue Shield of Montana prior authorization 0363U

Blue Cross and Blue Shield of Montana prior authorization for 0363U: Oncology (Urothelial) Mrna Gene- Expression Profiling By Real-Time Quantitative Pcr Of 5 Genes (Mdk Hoxa13 Cdc2 [Cdk1] Igfbp5 And Cxcr2) Utilizing Urine Algorithm Incorporates Age Sex Smoking History And Macrohematuria Frequency Reported As A Risk Score For Having Urothelial Carcinoma

Code: 0363U
Description: Oncology (Urothelial) Mrna Gene- Expression Profiling By Real-Time Quantitative Pcr Of 5 Genes (Mdk Hoxa13 Cdc2 [Cdk1] Igfbp5 And Cxcr2) Utilizing Urine Algorithm Incorporates Age Sex Smoking History And Macrohematuria Frequency Reported As A Risk Score For Having Urothelial Carcinoma
Source: 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 210 Original policy

Blue Cross and Blue Shield of Montana prior authorization

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