Article Detail - JF Part A
Self-Administered Drug Exclusion List (A53033) - R46 - Effective June 13, 2026
Date Posted: April 30, 2026
This billing and coding article has been revised and published for notice under contract numbers: 02101 (AK), 02201 (ID), 02301(OR), 02401 (WA), 03101 (AZ), 03201 (MT), 03301 (ND), 03401 (SD), 03501 (UT), and 03601 (WY).
Effective Date: June 13, 2026
Summary of Changes:
Effective 01/01/2023: Under Excluded CPT/HCPCS Codes, removed asterisk from C9399, J3490, J3590 Risankizumab-rzaa (Skyrizi™) subcutaneous use
Effective 06/13/2026: Under Excluded CPT/HCPCS Codes, added J3490, J3590, C9399 Nemolizumab-ilto (Nemluvio)
Visit the Self-Administered Drugs (SADs) webpage to view the Self-Administered Drug Exclusion List.
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