J7517 Insurance Policy Changes

Non-myeloablative Hematopoietic Cell Transplantation (Mini-Allograft / Reduced Intensity Conditioning Transplant) (CPB 0634, reviewed 2026-09-25)

This is a policy review of Aetna's CPB 0634 for non-myeloablative hematopoietic cell transplantation (mini-allograft). The policy was reviewed on 2026-09-25 but the document provided contains the full policy text without identifying specific changes from a prior version. The policy establishes medical necessity criteria for mini-allograft procedures in specified hematologic malignancies and bone marrow failure syndromes, while designating other indications as experimental/investigational.