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AetnaAll Plans · Coverage · Medical Policy · Oncology, Hematology, Neurology +1 moreMedium impact

Dendritic Cell Immunotherapy (CPB 0377, reviewed 2026-05-26)

Effective date
Not stated in the notice
Identified
Aug 14, 2026

Summary

Aetna considers dendritic cell immunotherapy experimental, investigational, or unproven because the peer-reviewed medical literature does not support its clinical use at this time, and there is no specific CPT or HCPCS code for it. ICD-10 codes for malignant neoplasms (leukemia, lymphoma, melanoma and solid tumors) and for melanoma in situ are listed as not covered for the indications in this bulletin. Current evidence is described as anecdotal, and randomized trials are needed to establish the appropriate antigen, adjuvant, dose, route and schedule.

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What to do

Action · 2 steps
01Billing team: Do not bill dendritic cell immunotherapy as a covered service, because Aetna considers it experimental, investigational or unproven.
02Billing team: Treat the ICD-10 malignant neoplasm codes and melanoma in situ codes listed in this bulletin as not covered for dendritic cell immunotherapy.

Codes mentioned

C00.0C43.9C44.00C75.9C76.0C86.61C88.40C94.32C94.80C96.4C96.6C96.9D03.0D03.9

Original notice

Dendritic Cell Immunotherapy (CPB 0377, reviewed 2026-05-26)
aetna.com · Always check the source before changing claims.
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