Aetna modified CPB 1031 for tofersen (Qalsody), effective September 26, 2025. Here's what billing teams need to do.

Aetna, a CVS Health company, updated its tofersen (Qalsody) coverage policy under CPB 1031 Aetna system, effective September 26, 2025. This drug — an antisense oligonucleotide therapy for SOD1-ALS — bills under HCPCS J1304 and requires precertification for all participating providers. If your practice administers tofersen or handles revenue cycle for neurology or specialty infusion, this policy has direct financial exposure.


Quick-Reference Table

Field Detail
Payer Aetna, a CVS Health company
Policy Tofersen (Qalsody) — CPB 1031
Policy Code CPB 1031
Change Type Modified
Effective Date September 26, 2025
Impact Level High
Specialties Affected Neurology, Specialty Infusion, Molecular Pathology, Rare Disease
Key Action Confirm precertification is in place and verify GCIT network designation before administering tofersen

Aetna Tofersen (Qalsody) Coverage Criteria and Medical Necessity Requirements 2025

The Aetna tofersen coverage policy under CPB 1031 is built around a narrow, well-defined indication. Tofersen treats amyotrophic lateral sclerosis caused by a confirmed SOD1 gene mutation — ICD-10-CM G12.21. That molecular confirmation is not optional. It's a hard prerequisite.

Genetic testing for the SOD1 gene mutation bills under CPT 81404 (Molecular pathology procedure, Level 5, full gene sequence SOD1). If your patient doesn't have documented SOD1 mutation results in the record before you submit for precertification, expect a medical necessity denial. Get the genetic testing completed and the results in the chart first.

Tofersen itself is delivered intrathecally — directly into the central nervous system via spinal puncture. That administration bills under CPT 96450 (Chemotherapy administration, into CNS, requiring and including spinal puncture). The drug billing is separate: HCPCS J1304 covers the injection at one unit per 1 mg of tofersen administered. Track your dose carefully. Billing J1304 at the wrong unit count is a fast path to a claim denial.

Prior authorization is required on all commercial Aetna plans. There are no exceptions for participating providers. Call (866) 752-7021 or fax your Statement of Medical Necessity to (888) 267-3277. Statement of Medical Necessity forms are available through Aetna's Specialty Pharmacy Precertification portal.


Coverage Indications at a Glance

Indication Status Relevant Codes Notes
ALS with confirmed SOD1 mutation Covered J1304, G12.21, CPT 96450 Prior authorization required; SOD1 mutation must be documented
SOD1 genetic testing to confirm eligibility Covered (related) CPT 81404 Required as part of medical necessity documentation
Intrathecal administration of tofersen Covered (when criteria met) CPT 96450 Requires spinal puncture; bills separately from drug
+ 1 more indications

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This policy is now in effect (since 2025-09-26). Verify your claims match the updated criteria above.

Aetna Tofersen Billing Guidelines and Action Items 2025

This is where most revenue cycle teams will have gaps. Tofersen billing touches three separate code types — drug, administration, and diagnostic — and adds a site-of-care requirement that can void reimbursement entirely if you miss it.

#Action Item
1

Confirm GCIT network status before September 26, 2025. Unless your member's health plan has opted out, tofersen must be administered at an Aetna Institutes® Gene Based, Cellular and Other Innovative Therapy (GCIT®) designated site. Administer at a non-designated site and you're looking at a denied claim regardless of prior auth status. Check the Aetna Institutes® GCIT Designated Networks page and confirm your facility qualifies.

2

Submit precertification before the first dose. Precertification is required for all Aetna commercial members. Call (866) 752-7021 or fax (888) 267-3277. Have the SOD1 mutation documentation, the prescribing neurologist's notes, and your SMN form ready. Incomplete submissions slow down approval and delay treatment.

3

Verify SOD1 mutation documentation is in the chart. CPT 81404 (Level 5 molecular pathology, full gene sequence SOD1) needs to appear in the medical record before you seek prior authorization for J1304. If the genetic test was done elsewhere, get the records. Aetna's medical necessity review will look for this.

+ 4 more action items

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Sample Version Diff Line-by-line changes
Previous VersionCurrent Version
Coverage is considered experimental and investigational for all indicationsCoverage is considered medically necessary when specific criteria are met
Prior authorization is not requiredPrior authorization is required for initial treatment
Documentation must include clinical historyDocumentation must include clinical history
+ 1 more action items

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CPT, HCPCS, and ICD-10 Codes for Tofersen (Qalsody) Under CPB 1031

HCPCS Codes Covered When Selection Criteria Are Met

Code Type Description
J1304 HCPCS Injection, tofersen, 1 mg

Supporting CPT Codes Related to CPB 1031

These codes are not the primary drug billing codes, but they're directly tied to the clinical pathway for tofersen and will appear on claims or pre-authorization documentation.

Code Type Description
81404 CPT Molecular pathology procedure, Level 5; includes full gene sequence SOD1 (superoxide dismutase 1, soluble)
96450 CPT Chemotherapy administration, into CNS (e.g., intrathecal), requiring and including spinal puncture

Key ICD-10-CM Diagnosis Codes

Code Description
G12.21 Amyotrophic lateral sclerosis

G12.21 is the only ICD-10 diagnosis code listed in CPB 1031. Every claim for J1304 and CPT 96450 should carry G12.21 as the primary diagnosis. If your documentation supports a more specific coding path, confirm with your compliance officer before deviating from this code.


The Real Billing Risk Here

Let's be direct about what makes tofersen billing harder than most specialty drug claims.

You have three separate billing events — genetic testing (CPT 81404), drug administration (CPT 96450), and drug cost (J1304) — that may happen at different facilities, on different dates, and through different revenue channels. Molecular pathology labs may bill CPT 81404 separately. Infusion sites bill CPT 96450. The drug itself may be specialty pharmacy-dispensed and billed through a different workflow entirely.

If those three billing streams aren't coordinated, you'll see split documentation, mismatched dates of service, and prior auth gaps. A claim denial on J1304 at $10,000+ per dose isn't a minor write-off.

The GCIT designation requirement adds another layer. This is the same pattern Aetna uses for gene therapies like CAR-T — a site-of-care restriction that functions as a quiet coverage exclusion if you're not paying attention. Treating at a non-designated site without a documented plan-level opt-out means you're outside the coverage policy, full stop.

If you're managing tofersen billing across multiple sites or your team is setting this up for the first time, loop in your compliance officer before the effective date of September 26, 2025. The financial exposure per patient is significant, and the administrative requirements are specific enough that a single missed step creates a denial that's hard to overturn.


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