Autologous Transplant
Medicare pays for items and services that are
reasonable and necessary for the diagnosis or treatment of an illness or
injury. What Medicare will cover is described in national coverage determinations
(NCD), each one focusing on a specific therapy, procedure, or disease.
National Coverage Determination (NCD)
The Medicare NCD for Stem Cell Transplantation should guide your center in what is
covered for your Medicare patients. Although you may find that Medicare
sometimes pays for indications outside of the NCD, it is financially
risky to assume that this will always happen. Always check the NCD to
determine what is covered.
Covered Indications Include:
.jpg "Covered Indications")
*See Medicare NCD for further clinical
classifications and coverage
Non-Covered Indications Include:
.jpg "Non-covered indications - RBP MedicareCoverageAuthAuto")