Premera Blue Cross of Washington prior authorization 0118U

Premera Blue Cross of Washington prior authorization for 0118U: Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor- derived cell-free DNA in the total cell-free DNA These criteria do not imply or guarantee approval.

Code: 0118U
Description: Transplantation medicine, quantification of donor-derived cell-free DNA using whole genome next-generation sequencing, plasma, reported as percentage of donor- derived cell-free DNA in the total cell-free DNA These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 29 Original policy

Premera Blue Cross of Washington prior authorization

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