Autologous Cellular Therapy – Commercial and Individual Exchange Medical Policyopen_in_new

Autologous cellular therapy is considered unproven and not medically necessary for all indications and therefore excluded from routine coverage. Coverage decisions must follow the member-specific benefit plan (and applicable federal/state mandates) — CPT codes listed are for reference only and do not imply coverage while efficacy and long‑term safety remain unestablished.

"No covered indications are specified. (Coverage Rationale: "Autologous Cellular Therapy is unproven and not medically necessary for all indications due to insufficient evidence of efficacy."

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