Prior Auth Required

38241 - Hematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit Transplant evaluation and facility

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceHematopoietic progenitor cell (HPC); Prior Authorization Required Medical Necessity Submit Transplant evaluation and facility
Procedure / Service Description

allogeneic transplantation per donor documentation of medical necessity. - 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 autologous transplantation acceptance letter 38589 Unlisted laparoscopy procedure, lymphatic Medical necessity review will be Medical Necessity Review required at claims submission;

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.