Premera Blue Cross of Washington prior authorization 0170U

Premera Blue Cross of Washington prior authorization for 0170U: Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis These criteria do not imply or guarantee approval.

Code: 0170U
Description: Neurology (autism spectrum disorder [ASD]), RNA, next-generation sequencing, saliva, algorithmic analysis, and results reported as predictive probability of ASD diagnosis These criteria do not imply or guarantee approval.
Source: Clinical Review by Code List PBCWA, Pg 35 Original policy

Premera Blue Cross of Washington prior authorization

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