Blue Shield of California Promise Health Plan prior authorization 0570U

Blue Shield of California Promise Health Plan prior authorization for 0570U: Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), immunoassay, whole blood or plasma, individual components reported with the overall result of elevated or non-elevated based on threshold comparison

Code: 0570U
Description: Neurology (traumatic brain injury), analysis of glial fibrillary acidic protein (GFAP) and ubiquitin carboxyl-terminal hydrolase L1 (UCH-L1), immunoassay, whole blood or plasma, individual components reported with the overall result of elevated or non-elevated based on threshold comparison
Source: Medi-Cal Prior Authorization List, Pg 18 Original policy

Blue Shield of California Promise Health Plan prior authorization

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