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

Humana·KY · Plastic Surgery, Wound Care, General Surgery +1 more·Medicaid
Effective date
Not stated
We identified it
Aug 4, 2026
Days to comply

Summary

Kentucky Medicaid has issued a new coverage policy for the RECELL autologous cell harvesting device, a single-use system that processes skin samples into spray-on cell suspension for wound treatment. This is a coverage determination policy establishing medical necessity and billing requirements for this specialized wound care technology.

Action Required

Action needed
Billing team must immediately: (1) Obtain the complete policy document from the source URL to identify specific HCPCS/CPT codes associated with RECELL device and application; (2) Review current claims submission practices to determine if RECELL procedures are being billed and under what codes; (3) Verify that any RECELL claims submitted to Kentucky Medicaid comply with the new coverage policy requirements once full policy details are confirmed; (4) Check if prior authorization is required before submitting RECELL claims to Kentucky Medicaid. Contact Humana Kentucky Medicaid directly or access the full policy document to obtain effective date, specific billing codes, medical necessity criteria, and any prior authorization requirements. Do not bill RECELL procedures to Kentucky Medicaid until policy details are fully reviewed and implemented in billing system.