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MedicaidPrior AuthMedium impact

RECELL Autologous Cell Harvesting Device - MEDICAID - VIRGINIA (New)

Humana·VA · Plastic Surgery, Dermatology, Wound Care +1 more·Medicaid
Effective date
May 27, 2026
We identified it
Jun 24, 2026
Days to comply

Summary

Humana Medicaid in Virginia has established a new policy for RECELL Autologous Cell Harvesting Device coverage, requiring prior authorization for spray-on skin cell treatments for burns, skin defects, and vitiligo. The policy covers specific indications including thermal burns, full-thickness skin defects, and vitiligo repigmentation with strict age and contraindication requirements.

Action Required

Action needed
Before May 27, 2026: Billing team must implement prior authorization requirements for HCPCS codes C1832 and C8002 when treating Virginia Medicaid patients with RECELL device. Update billing system to flag these codes for prior auth verification. Train staff on covered indications: thermal burns, traumatic skin defects (age 15+), and vitiligo (age 18+). Verify absence of contraindications before submitting claims.

Affected Billing Codes

C1832
C8002