NCDActive
Extracorporeal Photopheresis
NCD113
Effective: April 30, 2012
Updated: December 31, 2025
Policy Summary
Medicare covers extracorporeal photopheresis for palliative treatment of skin manifestations of cutaneous T‑cell lymphoma and for acute cardiac allograft rejection and chronic graft‑versus‑host disease when disease is refractory to standard therapies. ECP for bronchiolitis obliterans syndrome after lung transplantation is covered only when provided under a clinical research study that meets the NCD's detailed Coverage with Evidence Development requirements; all other indications are non‑covered.
Coverage Criteria Preview
Key requirements from the full policy
"Extracorporeal photopheresis (ECP) is covered as palliative treatment for skin manifestations of cutaneous T‑cell lymphoma (CTCL) that have not responded to other therapy."
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