38999 prior authorization | Anthem Blue Cross Blue Shield of California

38999, Unlisted procedure, hemic or lymphatic system [when specified as use of an ex-vivo expansion of cord blood stem cell product such as omidubicel (Omisirge)] or [when specified as bone marrow cell therapy or stem cell therapy such as IM, IV or IA for peripheral vascular disease], is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.

Code: 38999
Description: Unlisted procedure, hemic or lymphatic system [when specified as use of an ex-vivo expansion of cord blood stem cell product such as omidubicel (Omisirge)] or [when specified as bone marrow cell therapy or stem cell therapy such as IM, IV or IA for peripheral vascular disease]
Source: California PPO Prior Authorization List, Pg 7 Original policy

Anthem Blue Cross Blue Shield of California prior authorization

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