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:

Covered Indications

*See Medicare NCD for further clinical classifications and coverage

Non-Covered Indications Include:

Non-covered indications - RBP MedicareCoverageAuthAuto