Texas MedicaidMedium ImpactPrior Auth

Prior Authorization Criteria for Denileukin Diftitox-cxdl (Lymphir) Effective April 1, 2026

Published April 18, 2026Effective April 1, 2026

AI Summary

Effective April 1, 2026, prior authorization will be required for denileukin diftitox-cxdl (Lymphir) procedure code J9161 for Texas Medicaid patients. This drug treats relapsed or refractory cutaneous T-cell lymphoma in adults and requires specific CTCL diagnosis codes and clinical criteria to be met.

Action Required

Before April 1, 2026: Billing team must update system to require prior authorization for HCPCS code J9161 (denileukin diftitox-cxdl) for Texas Medicaid patients. Providers must use the Special Medical Prior Authorization (SMPA) Request Form and verify patients meet all clinical criteria including Stage I-III CTCL diagnosis, prior systemic therapy, and serum albumin >3 g/dL. Claims will be denied without proper prior authorization.

Affected Billing Codes

J9161C8400C8401C8402C8403C8404C8405C8406C8407C8408C8409C8410C8411C8412C8413C8414C8415C8416C8417C8418C8419C84A0C84A1C84A2C84A3C84A4C84A5C84A6C84A7C84A8C84A9C84AA

Plan Types

Medicaid

States

TX

Specialties

oncology, hematology