CommercialCoverageMedium impact
08.00.92ak, Coagulation Factors
Independence Blue Cross·Hematology, Oncology, Internal Medicine +1 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
The Coagulation Factors medical policy (08.00.92ak) has been updated with changes to medical necessity criteria, medical coding, and general guidelines. This is a comprehensive update affecting how coagulation factor treatments are covered and billed for commercial insurance plans.
Action Required
Before January 1, 2026: Billing team must review the updated Coagulation Factors policy at the provided URL to identify specific changes to medical necessity criteria and coding requirements. Update billing software and encounter forms based on the new guidelines. Ensure providers are aware of any new documentation requirements for coagulation factor treatments.