Premera Blue Cross of Washington prior authorization 0413U
Premera Blue Cross of Washington prior authorization for 0413U: Oncology optical genome mapping for copy number alterations, aneuploidy & balanced/complex structural rearrangements, DNA from blood or bone marrow, RPT of clinically significance alt
- Code
- 0413U
- Description
- Oncology optical genome mapping for copy number alterations, aneuploidy & balanced/complex structural rearrangements, DNA from blood or bone marrow, RPT of clinically significance alt
- Source
- Clinical Review by Code List PBCWA, Pg 81 Original policy