Premera Blue Cross of Washington prior authorization 0017M

Premera Blue Cross of Washington prior authorization for 0017M: Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of origin

Code: 0017M
Description: Oncology (diffuse large B-cell lymphoma [DLBCL]), mRNA, gene expression profiling by fluorescent probe hybridization of 20 genes, formalin-fixed paraffin-embedded tissue, algorithm reported as cell of origin
Source: Clinical Review by Code List PBCWA, Pg 16 Original policy

Premera Blue Cross of Washington prior authorization

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