Payer PolicyActive
TRANS.00034 Hematopoietic Stem Cell Transplantation for Diabetes Mellitus
ANTHEM-MP-A070096
Anthem
Effective: October 1, 2025
Updated: December 30, 2025
Policy Summary
This policy addresses hematopoietic stem cell transplantation (HSCT)—autologous or allogeneic, with ablative or non-myeloablative conditioning—for the treatment of diabetes mellitus. HSCT for diabetes of any type is considered investigational and not medically necessary and is not covered; there are no covered indications for DM under this policy.
Coverage Criteria Preview
Key requirements from the full policy
"Autologous or allogeneic (ablative and non-myeloablative) hematopoietic stem cell transplantation is consideredinvestigational and not medically necessaryas a treatment of diabetes mellitus."
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