S9377 prior authorization | Anthem Blue Cross and Blue Shield Virginia

S9377, Home infusion therapy, hydration therapy; more than three liters per day, is on the Anthem Blue Cross and Blue Shield Virginia HMO/EPO prior authorization list. Not a coverage or referral decision.

Code: S9377
Description: Home infusion therapy, hydration therapy; more than three liters per day
Source: Virginia HMO/EPO standard precertification/prior authorization requirements, Pg 81 Original policy

Anthem Blue Cross and Blue Shield Virginia policies that name S9377

The payer's medical and payment policies that list S9377, those listing the fewest codes first. A policy can also list a code it excludes.

CG-MED-23 Home Health · CG-MED-23View policy ↗

Anthem Blue Cross and Blue Shield Virginia prior authorization

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