J3399 prior authorization | Anthem Blue Cross and Blue Shield Virginia
J3399, Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.
- Code
- J3399
- Description
- Injection, onasemnogene abeparvovec-xioi, per treatment, up to 5x10^15 vector genomes
- Source
- Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 70 Original policy
Anthem Blue Cross and Blue Shield Virginia prior authorization