Anthem Blue Cross Blue Shield of Georgia policy
MED.00120 Gene Therapy for Ocular Conditions
MED.00120 Gene Therapy for Ocular Conditions is a public Anthem Blue Cross Blue Shield of Georgia policy (policy MED.00120). It lists 5 CPT or HCPCS codes, 5 of them on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage decision; the payer's own document governs.
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- Policy number
- MED.00120
- Line of business
- Commercial
- Source
- www.anthem.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes. Prior authorization status is from the Anthem Blue Cross Blue Shield of Georgia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross Blue Shield of Georgia policies |
|---|---|---|---|
| 0810T | On the list | Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies | Policies naming 0810T |
| C9399 | On the list | Unclassified Drugs Or Biologicals | Policies naming C9399 |
| J3398 | On the list | Injection, voretigene neparvovec-rzyl, 1 billion vector genomes | Policies naming J3398 |
| J3490 | On the list | Unclassified drugs | Policies naming J3490 |
| J3590 | On the list | Unclassified Biologics | Policies naming J3590 |
All Anthem Blue Cross Blue Shield of Georgia policies · Anthem Blue Cross Blue Shield of Georgia prior authorization CPT list