Anthem Blue Cross Blue Shield of Connecticut policy

Designated Medical Specialty Pharmacy Drug List

Designated Medical Specialty Pharmacy Drug List is a public Anthem Blue Cross Blue Shield of Connecticut policy (policy 1054-0622-OE-ALLCSBD). It lists 157 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Anthem Blue Cross Blue Shield of Connecticut
Policy number
1054-0622-OE-ALLCSBD
Line of business
Commercial
States
CT
Source
www.anthem.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Anthem Blue Cross Blue Shield of Connecticut policies
C9022Policies naming C9022
C9130Policies naming C9130
C9133Policies naming C9133
C9134Policies naming C9134
C9139Policies naming C9139
C9399Policies naming C9399
J0129Policies naming J0129
J0179Policies naming J0179
J0180Policies naming J0180
J0202Policies naming J0202
J0221Policies naming J0221
J0222Policies naming J0222
J0256Policies naming J0256
J0257Policies naming J0257
J0485Policies naming J0485
J0490Policies naming J0490
J0517Policies naming J0517
J0584Policies naming J0584
J0586Policies naming J0586
J0587Policies naming J0587
J0593Policies naming J0593
J0596Policies naming J0596
J0597Policies naming J0597
J0598Policies naming J0598
J0599Policies naming J0599
J0638Policies naming J0638
J0881Policies naming J0881
J0882Policies naming J0882
J0885Policies naming J0885
J0887Policies naming J0887
J0888Policies naming J0888
J0897Policies naming J0897
J1290Policies naming J1290
J1300Policies naming J1300
J1303Policies naming J1303
J1322Policies naming J1322
J1325Policies naming J1325
J1458Policies naming J1458
J1459Policies naming J1459
J1460Policies naming J1460
J1554Policies naming J1554
J1555Policies naming J1555
J1556Policies naming J1556
J1557Policies naming J1557
J1558Policies naming J1558
J1559Policies naming J1559
J1560Policies naming J1560
J1561Policies naming J1561
J1566Policies naming J1566
J1568Policies naming J1568
J1569Policies naming J1569
J1572Policies naming J1572
J1575Policies naming J1575
J1599Policies naming J1599
J1602Policies naming J1602
J1743Policies naming J1743
J1745Policies naming J1745
J1786Policies naming J1786
J1931Policies naming J1931
J1950Policies naming J1950
J2182Policies naming J2182
J2323Policies naming J2323
J2350Policies naming J2350
J2354Policies naming J2354
J2357Policies naming J2357
J2503Policies naming J2503
J2507Policies naming J2507
J2778Policies naming J2778
J2786Policies naming J2786
J2796Policies naming J2796
J3060Policies naming J3060
J3111Policies naming J3111
J3245Policies naming J3245
J3262Policies naming J3262
J3315Policies naming J3315
J3358Policies naming J3358
J3380Policies naming J3380
J3385Policies naming J3385
J3590Policies naming J3590
J7170Policies naming J7170
J7175Policies naming J7175
J7177Policies naming J7177
J7178Policies naming J7178
J7179Policies naming J7179
J7180Policies naming J7180
J7181Policies naming J7181
J7182Policies naming J7182
J7183Policies naming J7183
J7185Policies naming J7185
J7186Policies naming J7186
J7187Policies naming J7187
J7188Policies naming J7188
J7189Policies naming J7189
J7190Policies naming J7190
J7192Policies naming J7192
J7193Policies naming J7193
J7194Policies naming J7194
J7195Policies naming J7195
J7198Policies naming J7198
J7199Policies naming J7199
J7200Policies naming J7200
J7201Policies naming J7201
J7202Policies naming J7202
J7203Policies naming J7203
J7204Policies naming J7204
J7205Policies naming J7205
J7207Policies naming J7207
J7208Policies naming J7208
J7209Policies naming J7209
J7210Policies naming J7210
J7211Policies naming J7211
J7212Policies naming J7212
J7311Policies naming J7311
J7312Policies naming J7312
J7313Policies naming J7313
J9022Policies naming J9022
J9023Policies naming J9023
J9039Policies naming J9039
J9042Policies naming J9042
J9055Policies naming J9055
J9144Policies naming J9144
J9145Policies naming J9145
J9173Policies naming J9173
J9176Policies naming J9176
J9202Policies naming J9202
J9217Policies naming J9217
J9218Policies naming J9218
J9225Policies naming J9225
J9226Policies naming J9226
J9228Policies naming J9228
J9266Policies naming J9266
J9271Policies naming J9271
J9272Policies naming J9272
J9299Policies naming J9299
J9301Policies naming J9301
J9303Policies naming J9303
J9306Policies naming J9306
J9308Policies naming J9308
J9311Policies naming J9311
J9312Policies naming J9312
J9316Policies naming J9316
J9354Policies naming J9354
J9355Policies naming J9355
J9356Policies naming J9356
J9395Policies naming J9395
Q5103Policies naming Q5103
Q5104Policies naming Q5104
Q5106Policies naming Q5106
Q5112Policies naming Q5112
Q5113Policies naming Q5113
Q5114Policies naming Q5114
Q5115Policies naming Q5115
Q5116Policies naming Q5116
Q5117Policies naming Q5117
Q5119Policies naming Q5119
Q5121Policies naming Q5121
Q5123Policies naming Q5123

All Anthem Blue Cross Blue Shield of Connecticut policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.