27 commercial payer policies list J0717. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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27 policies from 17 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
Codes labeled “Inferred from policy title” are not listed in the policy document; Backwork attached them because the policy title names the drug.
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (Certolizumab Pegol) | Feb 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Oct 1, 2026 | Covered |
| Cimzia (Certolizumab Pegol) – Community Plan Medical Benefit Drug Policy | Not recorded | Covered with conditionsInferred from policy title |
| Cimzia (Certolizumab Pegol) – Individual Exchange Medical Benefit Drug Policy | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
|---|
| Policy | Effective | Status of J0717 |
|---|---|---|
| Alzheimer's Disease: Experimental, Investigational, or Unproven Treatments | Feb 20, 2024 | Covered |
| Certolizumab Pegol (Cimzia) | Feb 20, 2024 | Covered |
| Intradiscal Procedures | Aug 30, 2023 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol | Apr 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol | Apr 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol | Apr 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol | Apr 1, 2026 | Covered |
| Specialty Medication Administration Site of Care | Jan 1, 2026 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (Certolizumab Pegol) | Feb 1, 2026 | Covered |
| Provider Administered Drugs – Site of Care | Oct 1, 2026 | Covered |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab pegol (e.g., Cimzia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| CIMZIA (CERTOLIZUMAB PEGOL) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Cimzia | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol (Cimzia) | Dec 13, 2008 | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (certolizumab pegol) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Certolizumab Pegol (Cimzia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| 00200 certolizumab pegol (Cimzia) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (certolizumab pegol) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (certolizumab pegol) | Not recorded | Covered with conditionsInferred from policy title. Not listed in the policy document; attached because the policy title names the drug. |
| Policy | Effective | Status of J0717 |
|---|---|---|
| Cimzia (Certolizumab Pegol) | Feb 1, 2026 | Covered |