S9537 prior authorization | Blue Cross and Blue Shield of Montana
S9537, Home Therapy; Hematopoietic Hormone Injection Therapy (E. G. Erythropoietin G- Csf Gm-Csf); Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem, is on the Blue Cross and Blue Shield of Montana commercial prior authorization list. Not a coverage or referral decision.
- Code
- S9537
- Description
- Home Therapy; Hematopoietic Hormone Injection Therapy (E. G. Erythropoietin G- Csf Gm-Csf); Administrative Services Professional Pharmacy Services Care Coordination And All Necessary Supplies And Equipment (Drugs And Nursing Visits Coded Separately) Per Diem
- Source
- 2026 Commercial Medical Surgical Prior Authorization Code List, Pg 299 Original policy