Aetna modified CPB 1064 for crovalimab-akkz (PiaSky), effective December 4, 2025. Here's what billing teams need to do.

Aetna, a CVS Health company, updated its crovalimab-akkz (PiaSky) coverage policy under CPB 1064 in the Aetna system. This policy governs commercial medical plan reimbursement for PiaSky — a complement inhibitor used to treat paroxysmal nocturnal hemoglobinuria (PNH). The primary HCPCS code at stake is J1307 (injection, crovalimab-akkz, 10 mg), billed alongside administration codes CPT 96401, 96402, 96413, 96414, and 96415, and tied to ICD-10-CM D59.5.


Quick-Reference Table

Field Detail
Payer Aetna
Policy Crovalimab-akkz (PiaSky)
Policy Code CPB 1064
Change Type Modified
Effective Date December 4, 2025
Impact Level High
Specialties Affected Hematology, Oncology, Infusion Centers, Specialty Pharmacy
Key Action Verify all six initial approval criteria are documented before submitting precertification via (866) 752-7021

Aetna Crovalimab-akkz (PiaSky) Coverage Criteria and Medical Necessity Requirements 2025

The Aetna crovalimab-akkz coverage policy requires prior authorization for every claim. There are no exceptions for participating providers or plan members in applicable designs. Call (866) 752-7021 or fax (888) 267-3277 to submit precertification. The Site of Care Utilization Management Policy also applies — your infusion site must meet Aetna's criteria before you bill J1307 or any of the 96413-series codes.

Initial Approval — Six Criteria, All Required

Aetna considers crovalimab-akkz medically necessary only when all six of the following are met:

#Covered Indication
1The member is 13 years of age or older.
2The member weighs at least 40 kg.
3PNH diagnosis is confirmed by detecting a deficiency of glycosylphosphatidylinositol-anchored proteins (GPI-APs) — specifically, at least 5% PNH cells or at least 51% GPI-AP deficient polymorphonuclear cells.
+ 3 more indications

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That sixth criterion is the one your team will miss under pressure. The policy is explicit: crovalimab-akkz is not medically necessary if the member is also on another complement inhibitor. If your prescriber is transitioning a patient from Soliris (eculizumab, billed as J1299) or Ultomiris (ravulizumab-cwvz, billed as J1303), the switch must be complete before authorization. Any overlap disqualifies the claim.

Continuation of Therapy — Reauthorization Criteria

Reauthorization requires three criteria, all of which must be met:

#Covered Indication
1No evidence of unacceptable toxicity or disease progression on the current regimen.
2The member shows a positive response — for example, improvement in hemoglobin levels or normalization of LDH.
3The drug remains off-combination with any other complement inhibitor.

The reauthorization bar is lower than initial approval, but documentation of response is non-negotiable. Pull LDH trends and hemoglobin values before you submit. Vague progress notes will not get you through prior auth.


Aetna Crovalimab-akkz Exclusions and Non-Covered Indications

Aetna considers all uses of crovalimab-akkz outside PNH as experimental, investigational, or unproven. Full stop. This is not a policy with a nuanced off-label list — if the claim doesn't map to ICD-10-CM D59.5 and meet all six initial criteria, it won't be covered.

Combination therapy with other complement inhibitors is also excluded. This rules out concurrent billing of J1307 alongside J1299 (eculizumab) or J1303 (ravulizumab-cwvz) for the same indication. If your charge capture is pulling both codes for the same member on the same date of service, that's a claim denial waiting to happen.


Coverage Indications at a Glance

Indication Status Relevant Codes Notes
PNH in members ≥13 years, ≥40 kg, GPI-AP deficiency confirmed by flow cytometry, with clinical manifestations Covered J1307, D59.5, CPT 96401–96415 All six initial criteria must be met; prior auth required
Continuation of PNH therapy with documented positive response Covered J1307, D59.5, CPT 96401–96415 Reauthorization required; LDH/hemoglobin documentation needed
PNH in members under 13 years or under 40 kg Not Covered D59.5 Age and weight thresholds are hard stops
+ 2 more indications

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This policy is now in effect (since 2025-12-04). Verify your claims match the updated criteria above.

Aetna Crovalimab-akkz (PiaSky) Billing Guidelines and Action Items 2025

These are the concrete steps your billing team needs to take now. The effective date of December 4, 2025 is already past — if you're billing J1307 and haven't audited your process against this modified policy, do it today.

#Action Item
1

Update your prior auth workflow for CPB 1064. Precertification is required for every claim. Use (866) 752-7021 for phone submissions or (888) 267-3277 for fax. If your team uses Statement of Medical Necessity (SMN) forms, pull them from Aetna's Specialty Pharmacy Precertification page. Don't rely on approval for a prior auth submitted before the December 4, 2025 effective date — confirm it reflects the current criteria.

2

Build a documentation checklist that maps to all six initial criteria. Age (≥13), weight (≥40 kg), GPI-AP deficiency percentage, flow cytometry confirmation, clinical manifestation type, and complement inhibitor exclusion. Every field needs a source document. Missing one criterion means a denial on J1307.

3

Flag any member receiving both J1307 and J1299 or J1303. Run a report in your billing system. Any overlap — crovalimab-akkz with eculizumab or ravulizumab-cwvz — violates the combination therapy exclusion. Resolve the clinical situation before billing. If the prescriber is mid-transition between drugs, document the exact stop date for the prior complement inhibitor.

+ 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 Crovalimab-akkz (PiaSky) Under CPB 1064

Covered HCPCS Code (When Selection Criteria Are Met)

Code Type Description
J1307 HCPCS Injection, crovalimab-akkz, 10 mg

Administration CPT Codes (Related to CPB 1064)

Code Type Description
96401 CPT Chemotherapy administration, subcutaneous or intramuscular; non-hormonal antineoplastic
96402 CPT Chemotherapy administration, subcutaneous or intramuscular; hormonal antineoplastic
96413 CPT Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug
+ 2 more codes

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Contextual HCPCS Codes (Related Complement Inhibitors)

These codes appear in the policy because eculizumab and ravulizumab-cwvz are the drugs excluded from concurrent use with crovalimab-akkz. They are not covered under CPB 1064 for this indication.

Code Type Description Note
J1299 HCPCS Injection, eculizumab, 2 mg Related to CPB 0807; not to be billed concurrently with J1307
J1303 HCPCS Injection, ravulizumab-cwvz, 10 mg Related to CPB 0946; not to be billed concurrently with J1307

Key ICD-10-CM Diagnosis Code

Code Description
D59.5 Paroxysmal nocturnal hemoglobinuria [Marchiafava-Micheli]

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