Prior Auth Required

38240 - Hematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit history and physical

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceHematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit history and physical
Procedure / Service Description

transplantation; allogeneic documentation of medical necessity. - 38232 Bone marrow harvesting for Prior Authorization Required Medical Necessity Submit Transplant evaluation and facility transplantation; autologous acceptance letter 38240 Hematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit history and physical, allogeneic transplantation per donor documentation of medical necessity. 38241 Hematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit Transplant evaluation and facility

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.