New York
Provider Communications
Empire BlueCross BlueShield expands specialty pharmacy precertification list – effective 11/1/2022
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 |
C9098 |
Carvykti (ciltacabtagene autoleucel) |
J3490 |
Carvykti (ciltacabtagene autoleucel) |
J3590 |
Carvykti (ciltacabtagene autoleucel) |
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September 2022 Newsletter