C9155 Inj epcoritamab-bysp,0.16 mg

Injection, epcoritamab-bysp, 0.16 mg

Payer policies and prior authorization for C9155

0 of 1 payer prior-auth lists that name C9155 require prior authorization or set conditions.

Payer coverage policies that name C9155

C9155 appears in 1 coverage policy from Aetna.

PayerPolicyRole in policyReviewedDocument
AetnaInjectable Medications (0020)listed, no stance (range C8957-C9235)Mar 5, 2026payer document

Recent prior-auth changes

  • Jan 1, 2024: PA removed, Blue Shield of California Promise Health Plan
  • Sep 1, 2023: PA added, Blue Shield of California Promise Health Plan

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.