Reminder: Bill HCPCS code J3590 for off-label intravitreal use of Avastin for Blue Cross commercial members

When submitting claims for Avastin^® (bevacizumab), bill as follows:

• Use HCPCS code J3590 if Avastin is used for intravitreal treatment for Blue Cross Blue Shield of Michigan commercial members.

  Intravitreal treatment involving Avastin injections is an off-label use and requires a smaller-than-normal dosage.

  Note: Prior authorization isn’t required for the intravitreal administration of Avastin for diagnoses associated with intraocular conditions.

• Use HCPCS code J9035 if Avastin is used for intravenous, or IV, infusions for oncology treatment.

For a full list of requirements related to Avastin and other drugs covered under medical benefits, see the Blue Cross and BCN utilization management medical drug list for Blue Cross commercial and BCN commercial members.

You can access this list and other information about requesting prior authorization on the following pages of the ereferrals.bcbsm.com website:

• Blue Cross Medical Benefit Drugs
• BCN Medical Benefit Drugs