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Prior Authorization Changes to Oncology-related Codes
Highmark·Effective May 1, 2026
HCPCS J0893 is officially defined as "Injection, decitabine (sun pharma), not therapeutically equivalent to j0894, 1 mg." HCPCS J0893 is referenced in 1 tracked payer policy change from Highmark. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS J0893 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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