Anthem Blue Cross and Blue Shield Virginia policy
MED.00120 Gene Therapy for Ocular Conditions
MED.00120 Gene Therapy for Ocular Conditions is a public Anthem Blue Cross and Blue Shield Virginia policy (policy MED.00120). It lists 5 CPT or HCPCS codes, 2 of them on the Anthem Blue Cross and Blue Shield Virginia prior authorization list. Not a coverage decision; the payer's own document governs.
- Policy number
- MED.00120
- 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 Virginia prior authorization list.
| Code | Prior authorization | Description on the prior authorization list | Other Anthem Blue Cross and Blue Shield Virginia policies |
|---|---|---|---|
| 0810T | On the list | Subretinal injection of a pharmacologic agent, including vitrectomy and 1 or more retinotomies | Policies naming 0810T |
| C9399 | Not listed | Policies naming C9399 | |
| J3398 | On the list | Injection, voretigene neparvovec-rzyl, 1 billion vector genomes | Policies naming J3398 |
| J3490 | Not listed | Policies naming J3490 | |
| J3590 | Not listed | Policies naming J3590 |
All Anthem Blue Cross and Blue Shield Virginia policies · Anthem Blue Cross and Blue Shield Virginia prior authorization CPT list