Premera Blue Cross of Washington prior authorization 0347U
Premera Blue Cross of Washington prior authorization for 0347U: Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes These criteria do not imply or guarantee approval.
- Code
- 0347U
- Description
- Drug metabolism or processing (multiple conditions), whole blood or buccal specimen, DNA analysis, 16 gene report, with variant analysis and reported phenotypes These criteria do not imply or guarantee approval.
- Source
- Clinical Review by Code List PBCWA, Pg 71 Original policy