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CommercialPrior AuthMedium impact

Strontium Chloride Sr-89 (CPB 0361, reviewed 2026-01-09)

Aetna·Oncology, Radiation Oncology, Nuclear Medicine +1 more·Medical Policy
Effective date
Jan 9, 2026
We identified it
Aug 17, 2026
Days to comply

Summary

Aetna has updated its clinical policy for Strontium Chloride Sr-89 (CPB 0361), effective immediately. This radiopharmaceutical is covered only for metastatic bone pain relief in cancer patients with bone metastases; all other indications remain experimental/investigational. Mandatory precertification is required for all commercial plans before administration.

Action Required

Action needed
By January 9, 2026: (1) Billing team must implement mandatory precertification workflow for CPT 79101 (radiopharmaceutical therapy, IV) when billed with HCPCS A9600 (Strontium Sr-89) on Aetna commercial plans. (2) Update billing system to flag claims for precertification contact at (866) 752-7021 or fax (888) 267-3277 before claim submission. (3) Ensure all claims include ICD-10 diagnosis codes C40.00-C41.9 or C79.51-C79.52 (bone metastases); claims with other cancer diagnoses (C00.0-C39.9, C61, C79.49, C79.60-C96.9) will be denied as experimental. (4) Providers and nursing staff must document cancer diagnosis AND bone metastases presence in clinical notes to support medical necessity. (5) Implement 90-day minimum interval between repeated administrations in tracking system. Claims submitted without precertification or with non-bone metastasis diagnoses will be denied.

Affected Billing Codes

79101
A9600
C40.00
C40.01
C40.02
C40.10
C40.11
C40.12
C40.20
C40.21
C40.22
C40.30
C40.31
C40.32
C40.80
C40.81
C40.82
C40.90
C40.91
C40.92
C41.0
C41.1
C41.2
C41.3
C41.4
C41.9
C79.51
C79.52