New York
Provider Communications
Empire BlueCross BlueShield expands specialty pharmacy precertification list - effective 12/1/2022
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 |
J0172 |
Aduhelm (aducanumab-avwa) |
Featured In:
September 2022 Newsletter