Anthem Blue Cross and Blue Shield New Hampshire policy

CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme Disease

CG-MED-98 Parenteral Antibiotics for the Treatment of Lyme Disease is a public Anthem Blue Cross and Blue Shield New Hampshire policy (policy CG-MED-98). It lists 33 CPT or HCPCS codes, 30 of them on the Anthem Blue Cross and Blue Shield New Hampshire prior authorization list. Not a coverage decision; the payer's own document governs.

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Payer
Anthem Blue Cross and Blue Shield New Hampshire
Policy number
CG-MED-98
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 and Blue Shield New Hampshire prior authorization list.

CodePrior authorizationDescription on the prior authorization listOther Anthem Blue Cross and Blue Shield New Hampshire policies
96365On the listIntravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourPolicies naming 96365
96366Not listedPolicies naming 96366
96367Not listedPolicies naming 96367
96368Not listedPolicies naming 96368
96372On the listTherapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularPolicies naming 96372
J0456On the listInjection, azithromycin, 500 mgPolicies naming J0456
J0558On the listInjection, penicillin G benzathine and penicillin G procaine, 100,000 unitsPolicies naming J0558
J0561On the listInjection, penicillin G benzathine, 100,000 unitsPolicies naming J0561
J0687On the listInjection, cefazolin sodium (WG Critical Care), not therapeutically equivalent to J0690, 500 mgPolicies naming J0687
J0688On the listInjection, cefazolin sodium (Hikma), not therapeutically equivalent to J0690, 500 mgPolicies naming J0688
J0689On the listInjection, cefazolin sodium (Baxter), not therapeutically equivalent to J0690, 500 mgPolicies naming J0689
J0690On the listInjection, cefazolin sodium, 500 mgPolicies naming J0690
J0696On the listInjection, ceftriaxone sodium, per 250 mgPolicies naming J0696
J0698On the listInjection, cefotaxime sodium, per gPolicies naming J0698
J0743On the listInjection, cilastatin sodium; imipenem, per 250 mgPolicies naming J0743
J0744On the listInjection, ciprofloxacin for intravenous infusion, 200 mgPolicies naming J0744
J1335On the listInjection, ertapenem sodium, 500 mgPolicies naming J1335
J1450On the listInjection, fluconazole, 200 mgPolicies naming J1450
J1956On the listInjection, levofloxacin, 250 mgPolicies naming J1956
J2183On the listInjection, meropenem (WG Critical Care), not therapeutically equivalent to J2185, 100 mgPolicies naming J2183
J2184On the listInjection, meropenem (B. Braun), not therapeutically equivalent to J2185, 100 mgPolicies naming J2184
J2185On the listInjection, meropenem, 100 mgPolicies naming J2185
J2280On the listInjection, moxifloxacin, 100 mgPolicies naming J2280
J2281On the listInjection, moxifloxacin (Fresenius Kabi), not therapeutically equivalent to J2280, 100 mgPolicies naming J2281
J2510On the listInjection, penicillin G procaine, aqueous, up to 600,000 unitsPolicies naming J2510
J2540On the listInjection, penicillin G potassium, up to 600,000 unitsPolicies naming J2540
S9494On the listHome infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules S9497-S9504)Policies naming S9494
S9497On the listHome infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 3 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9497
S9500On the listHome infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9500
S9501On the listHome infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9501
S9502On the listHome infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9502
S9503On the listHome infusion therapy, antibiotic, antiviral, or antifungal; once every 6 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9503
S9504On the listHome infusion therapy, antibiotic, antiviral, or antifungal; once every 4 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diemPolicies naming S9504

All Anthem Blue Cross and Blue Shield New Hampshire policies · Anthem Blue Cross and Blue Shield New Hampshire prior authorization CPT list

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