Anthem Blue Cross Connecticut GENE.00023 Gene Expression Profiling of Melanomas and Cutaneous Squamous Cell Carcinoma Form

This document addresses gene expression profiling to assist in determining the diagnosis, risk stratification and clinical management of cutaneous and uveal (ocular) melanoma and cutaneous squamous cell carcinoma.

Investigational and Not Medically Necessary:

1. Gene expression profiling of suspected or established cutaneous melanoma is considered investigational and not medically necessary.
    
2. Gene expression profiling of suspected or established uveal melanoma is considered investigational and not medically necessary.
    
3. Gene expression profiling of suspected or established cutaneous squamous cell carcinoma is considered investigational and not medically necessary.