Cigna prior authorization for M0224: Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only, for certain adults and adolescents (12 years of age and older weighing at least 40 kg) with no known sars-cov-2 exposure, who either have moderate-to-severe immune compromise due to a medical condition or receipt of immunosuppressive medications or treatments, includes infusion and post administration monitoring
Code
M0224
Description
Intravenous infusion, pemivibart, for the pre-exposure prophylaxis only,
for certain adults and adolescents (12 years of age and older weighing
at least 40 kg) with no known sars-cov-2 exposure, who either have
moderate-to-severe immune compromise due to a medical condition or
receipt of immunosuppressive medications or treatments, includes
infusion and post administration monitoring
Source
Master Precertification List
For Health Care Providers, Pg 92 Original policy
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