Medium impact
Eteplirsen (Exondys 51™)
BCBS Tennessee·Effective Oct 31, 2026
HCPCS J0898 is officially defined as "Injection, argatroban (auromedics), not therapeutically equivalent to j0883, 1 mg (for non-esrd use)." HCPCS J0898 is referenced in 1 tracked payer policy change from BCBS Tennessee. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS J0898 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
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