Premera Blue Cross of Washington prior authorization 0417U
Premera Blue Cross of Washington prior authorization for 0417U: Rare diseases whole mitochondrial genome sequence with heteroplasmy detection & deletion analysis, nuclear- encoded mitochondrial gene analysis of 335 nuclear genes, including sequence changes
- Code
- 0417U
- Description
- Rare diseases whole mitochondrial genome sequence with heteroplasmy detection & deletion analysis, nuclear- encoded mitochondrial gene analysis of 335 nuclear genes, including sequence changes
- Source
- Clinical Review by Code List PBCWA, Pg 82 Original policy