C9489 Injection, nusinersen

Injection, nusinersen, 0.1 mg

Payer policies and prior authorization for C9489

Payer coverage policies that name C9489

C9489 appears in 1 coverage policy from BlueCross BlueShield of South Carolina.

PayerPolicyRole in policyReviewedDocument
BlueCross BlueShield of South CarolinaNusinersen for Spinal Muscular Atrophy (CAM 350)listed, no stanceMar 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in VA.

  • WY: $0.00 (professional), effective Jan 1, 2018

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.