Rubrica

CPT 11980 · Other Procedure · Wellpoint of New Jersey — NJ Medicaid

Testopel (testosterone pellet implantation) at Wellpoint of New Jersey — NJ Medicaid.

How Wellpoint of New Jersey — NJ Medicaid approaches CPT 11980 (Testopel (testosterone pellet implantation)) for prior-authorization review: at last review on 2026-05-06, the policy covers this code with prior authorization required.

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Coverage Covered
Prior auth Prior auth required
Last reviewed 2026-05-06
Policy numberCG-DRUG-08 / DRUG.00040

Criteria summary

High-level themes from the Wellpoint of New Jersey — NJ Medicaid policy of record for CPT 11980. Verbatim policy text and per-criterion analysis are available after sign-in.

Coverage criteria details available after sign-in.

Source: Anthem Medical Policy CG-DRUG-08 / DRUG.00040 — Testosterone Replacement Therapy

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