Tecentriq Prior Authorization Resources

Find the right PA form for your patient's payer, get the ICD-10 codes you need, and download appeal templates — all in one place.

Last verified: May 11, 2026

Blue Cross Blue Shield of Arkansas - Pharmacy Prior Authorization Form Arkansas Blue Cross Blue Shield · Updated May 11, 2026
Blue Cross of Idaho - General Prior Authorization Form Blue Cross of Idaho Health Services, Inc. · Updated May 11, 2026
California - Uniform Prior Authorization FormCalifornia · Updated Apr 16, 2026
CDPHP - General Prior Authorization FormCapital District Physicians Health Plan, Inc. · Updated May 11, 2026
Cigna - General Medication Prior Authorization FormCigna Corporation · Updated May 11, 2026
Cigna - Tecentriq Prior Authorization Form Cigna Corporation · Updated Apr 16, 2026

ICD-10 codes for Tecentriq Prior Authorizations

C34.90Unspecified part of unspecified lobe of unspecified lung
C34.80Overlapping lesion of unspecified parts of both lungs
C43.9Unspecified part of unspecified site of skin

Appeal Templates

If the payer denies coverage, these templates help you build a stronger appeal.
Coverage Authorization AppealsCoverage Authorization Appeals resource
Letter of Medical NecessityLetter of Medical Necessity resource
A peer-to-peer review with the payer's medical director can often resolve denials faster than a formal appeal.

Brand Resources

Pharmacy List Pharmacy List resource
How To Order TecentriqHow To Order Tecentriq resource
Billing & Coding Guide: Small Cell Lung Cancer (SCLC)Billing & Coding Guide: Small Cell Lung Cancer (SCLC) resource
Billing & Coding Guide: Non-small Cell Lung Cancer (NSCLC)Billing & Coding Guide: Non-small Cell Lung Cancer (NSCLC) resource
Billing & Coding Guide: Hepatocellular Carcinoma (HCC)Billing & Coding Guide: Hepatocellular Carcinoma (HCC) resource
Billing & Coding Guide: Malignant MelanomaBilling & Coding Guide: Malignant Melanoma resource
Billing & Coding Guide: Alveolar Soft Part Sarcoma (ASPS)Billing & Coding Guide: Alveolar Soft Part Sarcoma (ASPS) resource

Support for Getting Your Patient on Tecentriq

Check coverage & formulary statusVerify PA requirements for your patient's plan.Find savings programsCopay cards, patient assistance, and more.Check medication interactionsScreen prescriptions for harmful drug combinations.