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Independence Blue CrossMedicare Advantage · Billing Codes · Pharmacy · Oncology, Hematology, Pediatrics +1 moreMedium impact

MA08.085k, Asparaginase Erwinia Chrysanthemi (recombinant)-rywn (Rylaze®)

Act
by Dec 15, 2025
Effective date
Jan 1, 2026
Identified
Jun 19, 2026

Summary

Independence Blue Cross reissued Medicare Advantage policy MA08.085k on the Rylaze® drug with no substantive changes to coverage criteria. However, the deprecated HCPCS code J9019 (asparaginase Erwinaze) has been removed and replaced with J9021 (asparaginase recombinant Rylaze). Billing teams must update systems to use only J9021 for claims effective January 1, 2026.

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What to do

by Dec 15, 2025 · 5 steps
01Billing team must update billing software and claims submission systems to discontinue use of HCPCS code J9019 (asparaginase Erwinaze) and transition all Rylaze® claims to HCPCS code J9021 (asparaginase recombinant Rylaze).
02Update charge masters, templates, and provider encounter forms to reflect the new code.
03Educate oncology and hematology providers that J9019 is no longer valid as of January 1, 2026.
04Beginning January 1, 2026, any claims submitted with J9019 will be denied by Independence Blue Cross Medicare Advantage plans.
05Verify that all outstanding claims using J9019 are resubmitted with J9021 before the effective date.

Codes mentioned

J9019J9021

Original notice

MA08.085k, Asparaginase Erwinia Chrysanthemi (recombinant)-rywn (Rylaze®)
medpolicy.ibx.com · Always check the source before changing claims.
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