38240 Insurance Policy Changes

CPT 38240, in plain terms, covers A procedure where healthy blood-forming cells from a donor are transplanted into a patient to replace their damaged bone marrow. CPT 38240 is referenced in 5 tracked payer policy changes from Medicare/CMS, Humana, and 1 other payer. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 38240 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

Official descriptor: CPT 38240 on AAPC