Premera Blue Cross of Washington prior authorization 0216U

Premera Blue Cross of Washington prior authorization for 0216U: Neurology (inherited ataxias), genomic DNA sequence analysis of 12 common genes including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non- uniquely mappable regions, blood or saliva, identification and categorization of genetic variants These criteria do not imply or guarantee approval.

Code
0216U
Description
Neurology (inherited ataxias), genomic DNA sequence analysis of 12 common genes including small sequence changes, deletions, duplications, short tandem repeat gene expansions, and variants in non- uniquely mappable regions, blood or saliva, identification and categorization of genetic variants These criteria do not imply or guarantee approval.
Source
Clinical Review by Code List PBCWA, Pg 44 Original policy

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