Hematopoietic Cell Transplantation for Chronic Myel… | Aetna

Hematopoietic Cell Transplantation for Chronic Myelogenous Leukemia

Aetna · PayerPolicy · AETNA-CPB-0674

Status: Active
Effective: September 19, 2023
Last reviewed by Aetna: December 23, 2025
Last checked by Backwork: August 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with Aetna before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
38205	CPT	Covered
38206	CPT	Covered
38230	CPT	Covered
38232	CPT	Covered
38240	CPT	Covered
38241	CPT	Covered
38242	CPT	Covered
S2150	HCPCS	Covered
C92.10	ICD10CM	Covered
C92.11	ICD10CM	Covered