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Skysona (elivaldogene autotemcel) - Medicare Advantage (Revised)

Humana·Pediatrics, Neurology, Genetics +1 more·Medicare Advantage
Effective date
Feb 2, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicare Advantage now covers Skysona (elivaldogene autotemcel) gene therapy for cerebral adrenoleukodystrophy (CALD) in males aged 4-17 with strict medical criteria. New HCPCS code J3387 becomes available for billing this treatment effective January 1, 2026.

Action Required

Action needed
By February 2, 2026: Billing team must update system to recognize new HCPCS code J3387 for Skysona gene therapy billing. All requests require prior review by medical director and must be coordinated with Corporate Transplant Department at 1-866-421-5663. This affects only rare CALD cases in pediatric males.

Affected Billing Codes

C9399
J3387
J3490
J3590