Blue Cross Blue Shield Oklahoma prior authorization 0012M

Blue Cross Blue Shield Oklahoma prior authorization for 0012M: Oncology (Urothelial) Mrna Gene Expression Profiling By Real-Time Quantitative Pcr Of Five Genes (Mdk Hoxa13 Cdc2 [Cdk1] Igfbp5 And Cxcr2) Utilizing Urine Algorithm Reported As A Risk Score For Having Urothelial Carcinoma

Code
0012M
Description
Oncology (Urothelial) Mrna Gene Expression Profiling By Real-Time Quantitative Pcr Of Five Genes (Mdk Hoxa13 Cdc2 [Cdk1] Igfbp5 And Cxcr2) Utilizing Urine Algorithm Reported As A Risk Score For Having Urothelial Carcinoma
Source
2026 Commercial Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 97 Original policy

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