J7345 Aminolevulinic acid, 10% gelAminolevulinic acid hcl for topical administration, 10% gel, 10 mg
J7345 payment limit: $1.848 per 10 MG, effective October 1, 2026 through December 31, 2026, based on 2Q26 ASP data. Coinsurance 20%.
70621-0101-10 Ameluz Gel, Biofrontera Inc.: 200 billing units per package (1 TUBE in 1 PACKAGE / 2 g in 1 TUBE)70621-0101-20 Aminolevulinic Acid Hydrochloride, Biofrontera Inc.: 2000 billing units per package (10 TUBE in 1 PACKAGE / 2 g in 1 TUBE)Status E: excluded from the PFS by regulation.
J7345 appears in 9 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, Blue Cross & Blue Shield of Rhode Island, Blue Cross Blue Shield of Massachusetts, Blue Shield of California, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT).
| Payer | Policy | Role in policy | Reviewed | Document |
|---|---|---|---|---|
| Aetna | Actinic Keratoses Treatments (0567) | covered if criteria are met | Aug 21, 2026 | payer document |
| Aetna | Photodynamic Therapy (0375) | covered if criteria are met | May 21, 2026 | payer document |
| Aetna | Phototherapy for Acne (0656) | not covered | Sep 15, 2026 | payer document |
| Blue Cross & Blue Shield of Mississippi | Dermatologic Applications Of Photodynamic Therapy | covered if criteria are met | payer document | |
| Blue Cross & Blue Shield of Rhode Island | Dermatologic Applications of Photodynamic Therapy sa | covered if criteria are met | Jan 21, 2026 | payer document |
| Blue Cross Blue Shield of Massachusetts | Dermatologic Applications of Photodynamic Therapy (463) | listed, no stance | payer document | |
| Blue Shield of California | Dermatologic Applications of Photodynamic Therapy (2.01.44) | listed, no stance | payer document | |
| BlueCross BlueShield of South Carolina | Dermatologic Applications of Photodynamic Therapy (CAM 20144) | listed, no stance | Jan 1, 2026 | payer document |
| Health Care Service Corporation (BCBS IL, TX, OK, NM, MT) | Dermatologic Applications of Photodynamic Therapy (THE801.027) | listed, no stance | Apr 15, 2026 | payer document |
Prior authorization required or conditional in IN.
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.