Premera Blue Cross of Washington prior authorization 0047U
Premera Blue Cross of Washington prior authorization for 0047U: Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score
- Code
- 0047U
- Description
- Oncology (prostate), mRNA, gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping), utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as a risk score
- Source
- Clinical Review by Code List PBCWA, Pg 21 Original policy