LCD/NCD Portal

NCD30.8

 

CELLULAR THERAPY

 

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.

 

Medicare NCD Link