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Q5103 prior authorization | Anthem Blue Cross Blue Shield of California

Q5103: Infliximab-dyyb (Inflectra). 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
Q5103
Description
Infliximab-dyyb (Inflectra)
Source
California PPO Prior Authorization List, Pg 186 Original policy

Anthem Blue Cross Blue Shield of California policies that name Q5103

The payer's medical and payment policies that list Q5103, those listing the fewest codes first. A policy can also list a code it excludes.

Anthem Blue Cross Blue Shield of California prior authorization

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Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

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