Medical policy
Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors
Empire Blue medical policy TRANS.00027 · Jan 30, 2025
Key facts
| Policy title | Hematopoietic Stem Cell Transplantation for Pediatric Solid Tumors |
|---|---|
| Insurer | Empire Blue |
| Policy number | TRANS.00027 |
| Policy date | Jan 30, 2025 |
| Current policy | Yes |
| ICD-10 codes | 30233G0, 30233G2, 30233G3, 30233G4, 30233U2, 30233U3, 30233U4, 30233X2, 30233X3, 30233X4, 30233Y0, 30233Y2, 30233Y3, 30233Y4, 6A550ZV, 6A551ZV |
| Insurer page | empireblue.com |
At a glance
- None 510(k)s referenced
- None PMAs referenced
- None De Novos referenced
- None Clinical trials referenced
- 10–99 Articles referenced
- None UDI devices referenced
- None NDC products referenced
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Source: Health insurer clinical and medical policies (insurer as listed); cross-links by Orca1