J2353 prior authorization | Anthem Blue Cross Blue Shield of California
J2353: Octreotide, depot form (Sandostatin LAR depot). 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
- J2353
- Description
- Octreotide, depot form (Sandostatin LAR depot)
- Source
- California PPO Prior Authorization List, Pg 190 Original policy
Anthem Blue Cross Blue Shield of California policies that name J2353
The payer's medical and payment policies that list J2353, those listing the fewest codes first. A policy can also list a code it excludes.
Anthem Blue Cross Blue Shield of California prior authorization