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

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