TL;DR: Aetna modified CPB 1087 governing anacaulase-bcdb (Nexobrid) coverage, effective December 4, 2025. Billing teams using CPT codes 0973T–0976T and HCPCS J7353 need to verify BSA limits, exclusion criteria, and second-application rules before submitting claims.

Aetna updated its anacaulase-bcdb (Nexobrid) coverage policy under CPB 1087 to clarify medical necessity criteria for enzymatic eschar removal in burn patients. The policy covers selective enzymatic debridement billed under CPT 0973T, 0974T, 0975T, and 0976T, with the drug itself billed as HCPCS J7353. If your team bills these codes for burn care patients on Aetna commercial plans, the criteria in this update determine whether your claims pay or deny.


Quick-Reference Table

Field Detail
Payer Aetna
Policy Anacaulase-bcdb (Nexobrid) — CPB 1087
Policy Code CPB 1087
Change Type Modified
Effective Date December 4, 2025
Impact Level High
Specialties Affected Burn surgery, plastic surgery, wound care
Key Action Confirm BSA percentage, patient age, and exclusion criteria are documented before billing J7353 or 0973T–0976T

Aetna Anacaulase-bcdb Coverage Criteria and Medical Necessity Requirements 2025

The Aetna anacaulase-bcdb coverage policy covers Nexobrid for eschar removal in adult and pediatric members with deep partial thickness and/or full thickness thermal burns. Two layers of criteria apply: the member must meet the positive criteria, and must not fall into any exclusion.

Positive Criteria: What Gets Approved

Medical necessity requires thermal burns — not chemical or electrical burns. The member must have deep partial thickness and/or full thickness wounds. A burn specialist or plastic surgeon must prescribe or be consulted on the case. This is a hard prescriber requirement, not a soft recommendation. Claims without documentation of burn specialist or plastic surgeon involvement will face claim denial.

BSA limits are the trickiest part of this coverage policy. Here's how they break down:

#Covered Indication
1Adults and pediatric members age 6 and older: Up to 15% BSA per application
2Pediatric members under age 6: Up to 10% BSA per application
3Total treated area per treatment course: Cannot exceed 20% BSA for either application combined

A second application is allowed for adults when clinically indicated. It must happen within 24 hours of the first application — meaning the next calendar day. Three scenarios justify a second application: the wound area exceeds 15% BSA, multiple wound areas on different body surfaces require different body positioning, or the first application didn't fully remove eschar. Document the specific reason. Aetna will want to see it.

Second applications are not recommended for pediatric members. Don't bill a second application session for a pediatric patient expecting prior authorization approval.

Each application must be removed after four hours. That's a clinical requirement built into the policy, and it affects your documentation — the medical record should reflect the four-hour window.

For continuation of therapy — meaning a new treatment course for a new wound or new wound area — the member must meet all initial approval criteria again. If your team manages long-term burn patients with multiple wound sites over time, treat each new course as a fresh prior authorization request.

Prior authorization is not explicitly mentioned as a step-by-step process in this policy, but coverage criteria this specific always function as de facto prior auth checkpoints. Build a checklist around these criteria and verify medical necessity documentation before submitting claims for J7353 or any of the 0973T–0976T codes.


Aetna Anacaulase-bcdb Exclusions and Non-Covered Indications

Eight exclusions block coverage entirely. Any one of them disqualifies the member. This list is where most claim denials will come from if your clinical team isn't reviewing it pre-treatment.

#Excluded Procedure
1Chemical or electrical burns — Nexobrid covers thermal burns only. Chemical and electrical burns are excluded.
2Burns to the face, perineum, or genitalia — No coverage for treatment in these locations.
3Diabetic patients with foot burns — If the member has diabetes mellitus (ICD-10 codes E08.00–E13.9) or occlusive vascular disease and the burn is on the foot, they're excluded.
+ 5 more exclusions

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

The real issue with these exclusions is that several require clinical information your billing team may not see automatically. Foot burns with diabetes, cardiac comorbidities, implant proximity — these come from the clinical chart. Build a pre-authorization clinical checklist that pulls this information before the case is billed.


Coverage Indications at a Glance

Indication Status Relevant Codes Notes
Deep partial/full thickness thermal burns — adult, BSA ≤15% per session Covered 0973T–0976T, J7353 Burn specialist or plastic surgeon must prescribe or consult
Deep partial/full thickness thermal burns — peds age 6+, BSA ≤15% per session Covered 0973T–0976T, J7353 Max 20% BSA total per treatment course
Deep partial/full thickness thermal burns — peds under age 6, BSA ≤10% per session Covered 0973T–0976T, J7353 Max 20% BSA total per treatment course
+ 10 more indications

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

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

Aetna Anacaulase-bcdb Billing Guidelines and Action Items 2025

These are the steps your billing and clinical teams need to complete. Build them into your workflow before December 4, 2025.

#Action Item
1

Update your charge capture to flag J7353 and CPT 0973T–0976T for eligibility review. Every claim for these codes on an Aetna commercial plan should trigger a documentation checklist before submission.

2

Create a pre-authorization checklist that screens for all eight exclusions. The checklist should pull burn location, burn type (thermal only), wound proximity to implants or vessels, and cardiac/diabetic comorbidities from the chart. Don't rely on billing staff to catch these — it has to happen at the clinical level.

3

Verify BSA documentation is in the chart before billing. Accurate documentation of these criteria is the difference between clean reimbursement and a denial that requires appeal. The percentage of BSA treated per session must be clearly noted. For pediatric patients under age 6, that limit is 10% BSA. For all others, it's 15%. Total course cannot exceed 20%.

+ 4 more action items

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

If your burn center treats high volumes of these cases and you're uncertain how your specific payer mix maps to these criteria, talk to your compliance officer before December 4, 2025. The BSA calculation rules and second-application restrictions have enough nuance that a pre-implementation audit is worth the time.


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

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

CPT, HCPCS, and ICD-10 Codes for Anacaulase-bcdb Enzymatic Debridement Under CPB 1087

Covered CPT Codes (When Selection Criteria Are Met)

Code Type Description
0973T CPT Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia
0974T CPT Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia
0975T CPT Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia
+ 1 more codes

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

Note: The policy groups 0973T–0976T as "other CPT codes related to the CPB." The covered drug billing goes through HCPCS J7353. Your anacaulase-bcdb billing should use J7353 for the drug and the appropriate 0973T–0976T code for the procedure — confirm with your facility's charge description master how these are mapped.

HCPCS Drug Codes

Code Type Description
J7353 HCPCS Anacaulase-bcdb, 8.8% gel, 1 gram — covered when selection criteria are met; not covered for circumferential burns, burn wounds where medical devices or vital structures could be exposed

The J7353 descriptor itself encodes two of the exclusions. Payers may auto-deny J7353 claims that carry ICD-10 codes signaling circumferential burns or implant proximity. Make sure your ICD-10 coding is precise.

Key ICD-10-CM Diagnosis Codes

These codes appear in the policy's 516-code ICD-10 list. The ones most relevant to exclusion screening are:

Code Range Description Relevance
E08.00–E13.9 Diabetes mellitus Exclusion trigger for foot burns
I21.01–I21.A9 Acute myocardial infarction Cardiopulmonary exclusion
I22.0–I22.9 Subsequent ST elevation and non-ST elevation MI Cardiopulmonary exclusion
+ 3 more codes

Enter your email to unlock all tables — 100% free

Unlocks every table on this page. Free weekly digest included. By subscribing you agree to our Terms and Privacy Policy.

The full ICD-10 list covers 516 codes. The cardiac and pulmonary codes are the most operationally important — they define the "significant cardiopulmonary disease" exclusion that can block coverage for burn patients with complex medical histories. Build these ranges into your exclusion screening logic.


Get the Full Picture

Track this policy across versions, search 1,500+ policies by CPT code, and get real-time alerts when any payer changes coverage.

🔍 Search by any code 🔔 Real-time alerts 📊 Line-by-line diffs ⏰ Deadline tracking
Get Full Access → $99/mo · 14-day money-back guarantee