Billing and
Diagnosis Codes
Reimbursement and Coding Guide for OPDIVO
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The information below is designed to help appropriate patients get access to OPDIVO by providing helpful reimbursement information for healthcare offices. It is important that offices verify each patient’s insurance coverage prior to initiating therapy. BMS Access Support may be able to help.
Metastatic Melanoma
Unresectable or Metastatic Melanoma (mMelanoma) Monotherapy
Unresectable or Metastatic Melanoma (mMelanoma) Combination Therapy
Adjuvant Treatment of Melanoma (Adj Tx of Melanoma) Monotherapy
Non-Small Cell Lung Cancer
Metastatic Non-Small Cell Lung Cancer (mNSCLC) Monotherapy
Neoadjuvant Treatment of Resectable Non-Small Cell Lung Cancer (NeoAdj Tx of NSCLC) and Metastatic Non-Small Cell Lung Cancer (mNSCLC)
Combination Therapy
Malignant Pleural Mesothelioma
Unresectable Malignant Pleural Mesothelioma (MPM) Combination Therapy
Advanced Renal Cell Carcinoma
Advanced Renal Cell Carcinoma (aRCC) Monotherapy
Advanced Renal Cell Carcinoma (aRCC)
Combination Therapy
Recurrent or Metastatic Squamous Cell Carcinoma
of the Head and Neck
Recurrent or Metastatic Squamous Cell Carcinoma of the Head and Neck (SCCHN) Monotherapy
Urothelial Carcinoma
Locally Advanced or Metastatic Urothelial Carcinoma (UC) Monotherapy
Adjuvant Treatment of Urothelial Carcinoma (UC) Monotherapy
Metastatic Colorectal Cancer
Metastatic Colorectal Cancer (mCRC) Monotherapy
Metastatic Colorectal Cancer (mCRC)
Combination Therapy
Hepatocellular Carcinoma
Hepatocellular Carcinoma (HCC)
Combination Therapy
Gastroesophageal Cancer
Unresectable Advanced, Recurrent, or Metastatic Esophageal Squamous Cell Carcinoma (ESCC) Monotherapy
Adjuvant Treatment of Resected Esophageal or Gastroesophageal Junction Cancer
Advanced or Metastatic Gastric or Gastroesophageal Junction or Esophageal Adenocarcinoma
Unresectable Advanced or Metastatic Esophageal Squamous Cell Carcinoma (ESCC) Combination Therapy
The accurate completion of reimbursement- or coverage-related documentation is the responsibility of the healthcare provider and patient. Bristol Myers Squibb and its agents make no guarantee regarding reimbursement for any service or item.