Medical policy

Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin…

Empire Blue medical policy TRANS.00028 · Oct 1, 2024

Key facts

Policy title Hematopoietic Stem Cell Transplantation for Hodgkin Disease and non-Hodgkin Lymphoma
Insurer Empire Blue
Policy number TRANS.00028
Policy date Oct 1, 2024
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

Counts are shown as ranges. Exact figures, trends and every underlying record are available in Orca1.

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Insurer clinical and medical policies state when a payer covers a device, drug or procedure. Orca1 links each policy to the FDA submissions, trials and articles it cites. Policy text is not reproduced here.

Source: Health insurer clinical and medical policies (insurer as listed); cross-links by Orca1

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