CommercialPrior AuthMedium impact
Specialty pharmacy coding update: Soliris IV infusion medication
Cigna·Rheumatology, Hematology, Nephrology +1 more·Coding
Effective date
Apr 1, 2025
We identified it
Jun 18, 2026
Summary
Cigna Healthcare now requires HCPCS code J1299 for Soliris IV infusion prior authorization instead of J1300, effective April 1, 2025. Existing prior authorizations with J1300 remain valid through their approved timeframe, and providers don't need to take action for current authorizations.
Action Required
By April 1, 2025: Billing team must update prior authorization requests for Soliris IV infusion to use HCPCS code J1299 instead of J1300. Update billing software and encounter forms accordingly. No action needed for existing prior authorizations with J1300 as they remain valid through their approved duration.