Aetna modified CPB 0190 governing hematopoietic cell transplant stem cell coverage, effective September 26, 2025. Here's what billing teams need to do.

Aetna, a CVS Health company, updated its stem cell transplant coverage policy under CPB 0190 in the Aetna system, adding omidubicel-onlv (Omisirge) as a covered indication and clarifying donor compatibility testing criteria. The policy covers 26 CPT codes and three HCPCS codes — including CPT 38204 through 38243 for harvesting, preparation, and transplantation, plus S2140, S2142, and S2150 for cord blood procedures. If your practice or facility bills allogeneic stem cell transplants for Aetna members, this change warrants a close read before September 26, 2025.


Quick-Reference Table

Field Detail
Payer Aetna, a CVS Health company
Policy Stem Cells for Hematopoietic Cell Transplant
Policy Code CPB 0190
Change Type Modified
Effective Date September 26, 2025
Impact Level High
Specialties Affected Hematology/Oncology, Transplant Surgery, Bone Marrow Transplant Programs, Obstetrics (cord blood), Clinical Laboratory
Key Action Add Omisirge (omidubicel-onlv) to your charge capture and confirm CPB 1032 cross-reference is in your prior auth workflow before September 26, 2025

Aetna Hematopoietic Cell Transplant Coverage Criteria and Medical Necessity Requirements 2025

The Aetna hematopoietic cell transplant coverage policy under CPB 0190 covers five distinct indications. Each has its own medical necessity criteria, and the boundaries between them matter for reimbursement.

Indication 1: Donor compatibility testing and stem cell harvesting. Aetna covers HLA typing (CPT 86813, 86817, 86821) and compatibility testing (CPT 86920–86923) for prospective donors who are first-degree relatives — parents, siblings, children — or second-degree relatives, including grandparents, grandchildren, uncles, aunts, nephews, nieces, and half-siblings. Coverage also includes harvesting and short-term storage of peripheral stem cells or bone marrow via CPT 38205 and 38230. The key phrase here is "when an allogeneic transplant is authorized by Aetna." Compatibility testing without an authorized transplant in place won't clear prior authorization.

Indication 2: Umbilical cord blood as an allogeneic transplant source. Aetna accepts cord blood stem cells (HCPCS S2140, S2142) as a medically necessary alternative to conventional bone marrow or peripheral stem cells for allogeneic transplant. This is a clean, unqualified coverage position — cord blood isn't a fallback or experimental option under this policy. Pair S2142 with CPT 38240 for allogeneic transplantation per donor when billing these cases.

Indication 3: Short-term cord blood storage for members with malignancy. This one has a critical carve-out. Aetna covers short-term storage of cord blood when a current Aetna member has a malignancy and a matching cord blood unit exists. The policy uses ICD-10 range C00.0–C75.9 (malignant neoplasm) to anchor medical necessity. Storage without an active malignancy diagnosis and a confirmed match doesn't qualify. More on what's excluded below.

Indication 4: Stem cell boosting after graft failure. CPT 38243 (HPC boost) is covered when graft failure follows an approved allogeneic hematopoietic stem cell transplant. Diagnosis codes D89.810–D89.813 (graft-versus-host disease) and T86.5 (complications of stem cell transplant) support this indication. Document the prior allogeneic transplant clearly in your records — without that history, the boost claim looks like a standalone procedure with no covered indication.

Indication 5: Omidubicel-onlv (Omisirge). This is the new addition to CPB 0190, and it comes with a cross-reference flag. Aetna covers Omisirge when clinical criteria are met, but the medical necessity criteria live in a separate policy — CPB 1032. Your prior authorization workflow needs to pull CPB 1032, not just CPB 0190, when billing for Omisirge. If your PA team doesn't know that, denials will follow.


Aetna Stem Cell Transplant Exclusions and Non-Covered Indications

The cord blood storage exclusion is the sharpest edge in this policy. Harvesting, freezing, and storing cord blood from non-diseased persons for possible future use is explicitly not covered. Aetna's position: that's not treatment of a current disease or injury, so it falls outside the scope of medical coverage entirely.

This catches families who bank cord blood at birth "just in case." The policy is clear that storage must connect to a current member with a malignancy and a confirmed match. Billing cord blood banking for a healthy newborn under S2140 or CPT 38207 won't result in reimbursement under this policy — it will result in a claim denial.

CPT 0901T (placement of bone marrow sampling port, including the Portomar access device) is listed in the policy but flagged under "use of mesenchymal stromal cell-derived extracellular vesicles." Review that cross-reference before billing 0901T for Aetna — it's in the policy data but without a clean covered or not-covered designation separate from the specific mesenchymal cell context.


Coverage Indications at a Glance

Indication Status Relevant Codes Notes
Donor compatibility testing — family members (1st/2nd degree) Covered CPT 86813, 86817, 86821, 86920–86923, Z52.001, Z52.3 Requires authorized allogeneic transplant in place
Peripheral stem cell or bone marrow harvesting from identified donor Covered CPT 38205, 38230, S2150 Short-term storage only; allogeneic transplant must be authorized
Umbilical cord blood as allogeneic transplant source Covered HCPCS S2140, S2142, CPT 38240 Accepted alternative to bone marrow or peripheral stem cells
+ 4 more indications

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This policy is now in effect (since 2025-09-26). Verify your claims match the updated criteria above.

Aetna Stem Cell Transplant Billing Guidelines and Action Items 2025

#Action Item
1

Add CPB 1032 to your Omisirge prior auth checklist before September 26, 2025. Aetna routes all Omisirge medical necessity determinations to CPB 1032. If your PA team submits requests citing only CPB 0190, expect delays or denials. Update your prior authorization workflow now — the effective date doesn't give you a long runway.

2

Confirm your cord blood storage claims include an active malignancy diagnosis. Before billing CPT 38207 or S2140 for storage, verify the chart documents a current malignancy (C00.0–C75.9) and a confirmed match. Claims without that diagnosis pair will fail medical necessity review. Audit any pending cord blood storage claims before September 26.

3

Use Z52.001 and Z52.3 on donor harvesting claims — and verify the donor relationship. The policy limits covered compatibility testing to first- and second-degree relatives. Document the relationship in the medical record, not just on the claim. If the donor is unrelated, this policy doesn't support coverage — that's a different pathway.

+ 3 more action items

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Sample Version Diff Line-by-line changes
Previous VersionCurrent Version
Coverage is considered experimental and investigational for all indicationsCoverage is considered medically necessary when specific criteria are met
Prior authorization is not requiredPrior authorization is required for initial treatment
Documentation must include clinical historyDocumentation must include clinical history
+ 1 more action items

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CPT, HCPCS, and ICD-10 Codes for Stem Cell Transplant Under CPB 0190

Covered CPT Codes (When Selection Criteria Are Met)

Code Description
38204 Management of recipient hematopoietic progenitor cell donor search and cell acquisition
38205 Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogeneic
38206 Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous
+ 20 more codes

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Other CPT Codes Related to CPB 0190

Code Description Notes
38221 Diagnostic bone marrow; biopsy(ies) Related code — not in primary covered group
38222 Diagnostic bone marrow; biopsy(ies) Related code — not in primary covered group
0901T Placement of bone marrow sampling port, including imaging guidance when performed (Portomar access) Listed under mesenchymal stromal cell-derived extracellular vesicle context — confirm clinical alignment before billing

Covered HCPCS Codes (When Selection Criteria Are Met)

Code Description
S2140 Cord blood harvesting for transplantation, allogeneic
S2142 Cord blood-derived stem-cell transplantation, allogeneic
S2150 Bone marrow or blood-derived stem cells (peripheral or umbilical), allogeneic or autologous, harvesting

Key ICD-10-CM Diagnosis Codes

Code Description
C00.0–C75.9 Malignant neoplasm (range)
D89.810 Acute graft-versus-host disease
D89.811 Chronic graft-versus-host disease
+ 5 more codes

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