Colorado
Provider Communications
Anthem Blue Cross and Blue Shield Expands Specialty Pharmacy Precertification list
Federal and state law, as well as state contract language and CMS guidelines, including definitions and specific contract provisions/exclusions, take precedence over these precertification rules and must be considered first when determining coverage. Noncompliance with new requirements may result in denied claims.
HCPCS or CPT® codes | Medicare Part B drugs |
J0172 | Aduhelm (aducanumab-avwa) |
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September 2022 Anthem Provider News and Updates - Colorado