Prior Auth Required

38243 - Transplant Hematopoietic progenitor cell (HPC); HPC boost

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceTransplant Hematopoietic progenitor cell (HPC); HPC boost
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 34 - Transplant 38242 Allogeneic lymphocyte infusions Transplant 38243 Hematopoietic progenitor cell (HPC); HPC boost Transplant 38589 LAP,LYMPHATIC SYSTEM,OTHER PROC

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.