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Medicare Coverage Database

NCD for Cellular Therapy (30.8)

Publication Number

100-3

Manual Section Number

30.8

Version Number

1

Effective Date of this Version

This is a longstanding national coverage determination. The effective date of this version has not been posted.

Benefit Category

Physicians' Services

Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

Cellular therapy involves the practice of injecting humans with foreign proteins like the placenta or lungs of unborn lambs. Cellular therapy is without scientific or statistical evidence to document its therapeutic efficacy and, in fact, is considered a potentially dangerous practice.

Indications and Limitations of Coverage

Accordingly, cellular therapy is not considered reasonable and necessary within the meaning of section 1862(a)(1) of the Act.



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