Cigna Prior Authorization for CPT J9292
Axtle - pemetrexed (shared HCPCS, NDC required) in PA
Documents Needed
- Clinical notes
Clinical Criteria
Injection, pemetrexed (avyxa), not therapeutically equivalent to J9305, 10 mg
Source: Cigna Prior Authorization List
Submission Tips
Document medical necessity thoroughly before submitting. Include clinical notes, relevant test results, and a clear rationale for why CPT J9292 is appropriate for the patient's condition.
About CPT J9292
CPT J9292 — Axtle - pemetrexed (shared HCPCS, NDC required). Prior authorization requirements vary by payer, plan type, and state. Cigna requires prior authorization for this procedure in PA.
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The information provided on this page is for educational and informational purposes only. While we strive to maintain the most current and accurate prior authorization data, requirements change frequently and vary by individual plan type. Always verify prior authorization requirements directly with the payer before performing a procedure. D3rx is not responsible for any claim denials or reimbursement issues.