Blue Cross Blue Shield Oklahoma prior authorization 0155U

Blue Cross Blue Shield Oklahoma 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 Outpatient Medical Surgical Fully Insured Prior Authorization Codes, Pg 110 Original policy

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