Blue Shield of California Promise Health Plan prior authorization 0481U
Blue Shield of California Promise Health Plan prior authorization for 0481U: Idh1 (isocitrate dehydrogenase 1 [nadp+]), idh2 (isocitrate dehydrogenase 2 [nadp+]) and tert (telomerase reverse transcriptase) promoter (eg, central nervous system [cns] tumors), next-generation sequencing (single-nucleotide variants [snv], deletions, and insertions)
- Code
- 0481U
- Description
- Idh1 (isocitrate dehydrogenase 1 [nadp+]), idh2 (isocitrate dehydrogenase 2 [nadp+]) and tert (telomerase reverse transcriptase) promoter (eg, central nervous system [cns] tumors), next-generation sequencing (single-nucleotide variants [snv], deletions, and insertions)
- Source
- Medi-Cal Prior Authorization List, Pg 14 Original policy
Blue Shield of California Promise Health Plan prior authorization