Blue Cross and Blue Shield of Illinois policy
Esketamine Nasal Spray
Esketamine Nasal Spray is a public Blue Cross and Blue Shield of Illinois policy (policy RX501.105). It lists 5 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
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- Policy number
- RX501.105
- Line of business
- Commercial, Medicaid
- Source
- medicalpolicy.hcsc.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Blue Cross and Blue Shield of Illinois policies |
|---|---|
| G2082 | Policies naming G2082 |
| G2083 | Policies naming G2083 |
| J0013 | Policies naming J0013 |
| J3490 | Policies naming J3490 |
| S0013 | Policies naming S0013 |