J1569 prior authorization | Anthem Blue Cross Blue Shield of California
J1569: Immune Globulin (Gammagard Liquid, Gammagard Liquid ERC). Imported Anthem Blue Cross Blue Shield of California PPO source reference; confirm plan-specific review requirements in the original document. Not a coverage or referral decision.
- Code
- J1569
- Description
- Immune Globulin (Gammagard Liquid, Gammagard Liquid ERC)
- Source
- California PPO Prior Authorization List, Pg 189 Original policy
Anthem Blue Cross Blue Shield of California policies that name J1569
The payer's medical and payment policies that list J1569, those listing the fewest codes first. A policy can also list a code it excludes.
Anthem Blue Cross Blue Shield of California prior authorization