Blue Cross and Blue Shield of Illinois policy
Photodynamic Therapy for Choroidal Neovascularization
Photodynamic Therapy for Choroidal Neovascularization is a public Blue Cross and Blue Shield of Illinois policy (policy OTH903.015, effective Dec 15, 2025). It lists 9 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Policy number
- OTH903.015
- Effective
- Dec 15, 2025
- 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 |
|---|---|
| 67221 | Policies naming 67221 |
| 67225 | Policies naming 67225 |
| C9257 | Policies naming C9257 |
| J0177 | Policies naming J0177 |
| J0178 | Policies naming J0178 |
| J2503 | Policies naming J2503 |
| J2778 | Policies naming J2778 |
| J3396 | Policies naming J3396 |
| J9035 | Policies naming J9035 |