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HCPCS/CPT S9321 | No Prior Auth

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`S9321`

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Code is covered without prior authorization (high confidence)

Key Coverage Criteria

Autologous hematopoietic stem cell transplantation(AutoHSCT)for treatment of individuals with multiple myeloma is consideredmedically necessarywhen used as:
As a single transplant (AutoHSCT);or
As a tandem* transplant (two AutoHSCTs separated by 30 to 180 days);or
As a repeat procedure (AutoHSCT greater than 180 days following a previous AutoHSCT);or
As a pretreatment for a non-myeloablative allogeneic hematopoietic stem cell transplant;or
As salvage therapy after:Primary graft failure;orFailure to engraft;orRejection following an allogeneic HSCT.

1 Active Policy

ANTHEM-MP-A045963 — Status

Related Codes

38205(1 policies)38206(1 policies)38207(1 policies)38208(1 policies)38209(1 policies)

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38210(1 policies)

38211(1 policies)

38204(1 policies)