Management of Hereditary Angioedema (HAE) with C1 Esterase Inhibitor, Human and Ecallantide

BCBS Montana · PayerPolicy · BCBSMT-RX504.013

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
J0598	HCPCS	Covered
J1290	HCPCS	Covered