Q2042 prior authorization | Anthem Blue Cross Blue Shield of Georgia
Q2042, Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose, is on the Anthem Blue Cross Blue Shield of Georgia prior authorization list. Not a coverage or referral decision.
- Code
- Q2042
- Description
- Tisagenlecleucel, up to 600 million CAR-positive viable T cells, including leukapheresis and dose preparation procedures, per therapeutic dose
- Source
- Standard Local Prior Authorization Code List, Pg 118 Original policy
Anthem Blue Cross Blue Shield of Georgia prior authorization