Premera Blue Cross of Washington prior authorization 0022U

Premera Blue Cross of Washington prior authorization for 0022U: Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation for sequence variants and rearrangements, reported as presence or absence of variants and associated therapy(ies) to consider These criteria do not imply or guarantee approval.

Code: 0022U
Description: Targeted genomic sequence analysis panel, non-small cell lung neoplasia, DNA and RNA analysis, 23 genes, interrogation for sequence variants and rearrangements, reported as presence or absence of variants and associated therapy(ies) to consider These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 17 Original policy

Premera Blue Cross of Washington prior authorization

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