Cigna prior authorization for Q0234: Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation only, 1 mg
Code
Q0234
Description
Injection, tocilizumab-bavi, for hospitalized adult patients with covid-19
who are receiving systemic corticosteroids and require supplemental
oxygen, non-invasive or invasive mechanical ventilation, or
extracorporeal membrane oxygenation only, 1 mg
Source
Master Precertification List
For Health Care Providers, Pg 93 Original policy
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