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Hematopoietic Cell Transplantation for Myelodysplastic Syndrome (CPB 0836, reviewed 2025-12-09)

Aetna·Hematology, Oncology, Internal Medicine +1 more·Medical Policy
Effective date
Dec 9, 2025
We identified it
Aug 17, 2026
Days to comply

Summary

Aetna's CPB 0836 clarifies medical necessity coverage for hematopoietic cell transplantation (HCT) in myelodysplastic syndrome (MDS). Allogeneic HCT is covered for intermediate/high-risk MDS patients who failed prior therapy with an HLA-compatible donor; repeat allogeneic HCT is covered for graft failure or late relapse (>18 months). Autologous HCT and early relapse repeat HCT remain experimental/unproven and non-covered.

Action Required

Action needed
Immediate action required: Billing team must update authorization and billing rules in system to distinguish covered vs. non-covered HCT scenarios for MDS. (1) For CPT 38205, 38230, 38240, 38242, and S2150: Require prior authorization documentation confirming patient has intermediate-risk or high-risk MDS (ICD-10 D46.0-D46.9), failed prior therapy, and HLA-compatible donor available before claim submission. (2) For repeat HCT using same codes: Require prior auth with documentation of primary graft failure, failure to engraft, or late relapse (>18 months post-HCT). (3) Deny/reject all claims for CPT 38206, 38232, 38241 (autologous HCT) with ICD-10 D46.x diagnosis codes as experimental/investigational and non-covered. (4) Deny all repeat allogeneic HCT claims (CPT 38205, 38230, 38240, 38242) when documentation shows early relapse (<18 months) as experimental/investigational. (5) Update provider communication and prior auth forms to reference this specific policy (CPB 0836, effective 2025-12-09). Providers, oncology billing staff, and authorization specialists must implement these rules to prevent claim denials.

Affected Billing Codes

38205
38230
38240
38242
38206
38232
38241
38204
38207
38208
38209
38210
38211
38212
38213
38214
38215
38216
38217
38218
38219
38220
86813
86817
86821
S2150
D46.0
D46.1
D46.2
D46.20
D46.21
D46.22
D46.A
D46.B
D46.C
D46.9