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Independence Blue CrossMedicare Advantage · Administrative · Pharmacy · NJ · Orthopedics, Rheumatology, Pain Management +1 moreLow impact

MA08.097a, Triamcinolone Acetonide ER Injectable (Zilretta®)

Effective date
Not stated in the notice
Identified
Jun 19, 2026

Summary

This is a routine annual policy reissue with NO SUBSTANTIVE CHANGES to Independence Blue Cross Medicare Advantage coverage of Triamcinolone Acetonide ER Injectable (Zilretta) for knee osteoarthritis. The policy maintains existing medical necessity criteria, coverage limitations, and billing codes. No new billing requirements or workflow changes are needed.

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What to do

Action · 4 steps
01No action required.
02This is a routine annual reissue with no changes to coverage criteria, medical necessity requirements, or billing procedures.
03Billing team may file for reference, but no system updates or documentation changes are necessary.
04Current billing practices for Zilretta (J3304) remain unchanged.

Codes mentioned

J3304

Original notice

MA08.097a, Triamcinolone Acetonide ER Injectable (Zilretta®)
medpolicy.ibx.com · Always check the source before changing claims.
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Related changes

See all Independence Blue Cross changes →
MA08.097a, Triamcinolone Acetonide ER Injectable (Zilretta®)LowEffective Apr 1, 2026 · Pharmacy08.01.47a, Triamcinolone Acetonide Extended-Release Injectable (Zilretta®)LowNo effective date · Pharmacy08.01.47a, Triamcinolone Acetonide Extended-Release Injectable (Zilretta®)LowNo effective date · PharmacyBrowse every Independence Blue Cross change in the policy list

Related policy hubs

Independence Blue Cross policiesNJ policy changesOrthopedicsRheumatologyPain ManagementSports MedicineCode J3304

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