What insurance policy changes affect CPT 38241?

There are 7 tracked policy changes affecting CPT 38241, including updates from Anthem BCBS, Medicare/CMS, Humana. Each change may modify coverage criteria, reimbursement rates, or prior-authorization requirements.

Which payers have updated policy for CPT 38241?

Payers that have issued tracked updates for CPT 38241 include: Anthem BCBS, Medicare/CMS, Humana, Blue Cross & Blue Shield of Mississippi.

How do I get notified when CPT 38241 policy changes?

Create a free account at PolicyChanges.app and save a search filtered to CPT 38241. You will receive a daily digest email whenever a new policy change references this code.

Why do payers change policies for CPT 38241?

Payers revise policies for individual billing codes to align with updated clinical guidelines, CMS rule changes, fraud and abuse prevention measures, or network cost-management goals. Changes can affect medical necessity criteria, place-of-service restrictions, bundling rules, or whether a code requires prior authorization.

38241 — Transplanting your own blood-forming cells that were collected and stored for later use.: Insurance Policy Changes

38241 Insurance Policy Changes

CPT 38241, in plain terms, covers Transplanting your own blood-forming cells that were collected and stored for later use. CPT 38241 is referenced in 7 tracked payer policy changes from Anthem BCBS, Medicare/CMS, and 2 other payers. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 38241 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.

High impact

[Georgia] Precertification/prior authorization list change notification

Anthem BCBS·Effective Nov 1, 2026

Effective November 1, 2026, Anthem Blue Cross and Blue Shield (Georgia) is adding 24 new services to its precertification/prior authorization requirement list. These additions span four categories: advanced laboratory tests (4 codes), gene therapies (5 codes), hematopoietic stem cell transplantations (8 codes), and surgical procedures including irreversible electroporation and carotid sinus baroreceptor stimulation devices (7 codes). All services using these codes will require prior authorization before delivery to avoid claim denial.

38241 Insurance Policy Changes

[Georgia] Precertification/prior authorization list change notification

[Ohio] Precertification/prior authorization list change notification

2026-03-26 - CMS Rule Phases Out Fax Machines, Snail Mail to Save Taxpayers $781.98M a Year

Hematopoietic Stem Cell Transplantation - Medicare Advantage (Revised)

Progenitor Cell Therapy for the Treatment of Damaged Myocardium Due to Ischemia

Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

Autologous Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas and Gliomas