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Autologous Hematopoietic Stem-Cell Transplantation for Malignant Astrocytomas and Gliomas

Blue Cross & Blue Shield of Mississippi·MS · Oncology, Hematology, Neurosurgery +1 more·Medical Policy
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Blue Cross Blue Shield of Mississippi updated their policy on autologous hematopoietic stem-cell transplantation for malignant astrocytomas and gliomas, confirming these procedures remain investigational and not covered. The policy requires prior authorization through Case Management for any transplant procedures or evaluations.

Action Required

Action needed
Immediately: Billing team must ensure prior authorization is obtained through BCBS Mississippi Case Management before billing any hematopoietic stem cell transplant procedures for brain tumor patients. Update billing system to flag these codes as investigational/non-covered for BCBS Mississippi members. Claims will be denied without prior authorization.

Affected Billing Codes

38204
38205
38206
38207
38208
38209
38210
38211
38212
38213
38214
38215
38220
38221
38222
38230
38240
38241
38242
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