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RECELL Autologous Cell Harvesting Device - MEDICAID - KENTUCKY (New)
Effective date
Aug 12, 2026
Identified
Oct 6, 2026
Summary
Humana Kentucky Medicaid has established a new coverage policy for the RECELL autologous cell harvesting device, effective 08/12/2026. The policy covers four specific clinical indications (thermal burns with meshed autografting, full-thickness skin defects from trauma/surgery/cancer resection, acute partial-thickness burns, and vitiligo repigmentation) with defined age restrictions and contraindications. Prior authorization is required for all covered uses.
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What to do
Action · 6 steps
01Effective 08/12/2026: Billing team should implement prior authorization requirements in the billing system for RECELL device claims (HCPCS codes C1832 and C8002) for Kentucky Medicaid members.
02Verify coverage eligibility against the four covered indications listed in the policy (thermal burns with meshed autografting, full-thickness skin defects from traumatic avulsion/surgical excision/resection in patients 15+, acute partial-thickness thermal burns in patients 18+, or vitiligo repigmentation in patients 18+).
03Confirm absence of stated contraindications (infected/necrotic wound bed, hypersensitivity to trypsin, compound sodium lactate solution, anesthetics, adrenaline/epinephrine, povidone-iodine, or chlorhexidine).
04For members under age 21, ensure requests are reviewed for medical necessity per EPSDT requirements.
05Claims submitted without prior authorization or for non-covered indications will be denied.
06Note: This policy was newly discovered on 10/06/2026 but became effective 08/12/2026, so verify whether your practice has already implemented these requirements and confirm current applicability with Humana.
Codes mentioned
C1832C8002
Original notice
RECELL Autologous Cell Harvesting Device - MEDICAID - KENTUCKY (New)
mcp.humana.com · Always check the source before changing claims.
Related changes
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