Regence Logos
Search: 
spacer
spacerspacer
Medical Policy

Transplant Section

Policy Name Policy ID Number Date Modified

Donor Lymphocyte Infusion for Malignancies Treated with an Allogeneic Hematopoietic Cell Transplant

TRA45.03 04/01/2021
Heart Transplant TRA02 06/01/2021
Heart-Lung Transplant TRA03 06/01/2021
Hematopoietic Cell Transplantation Policies    

Allogeneic Hematopoietic Cell Transplantation for Myelodysplastic Syndromes and Myeloproliferative Neoplasms

TRA45.24 12/01/2020

Allogeneic Hematopoietic Cell Transplantation for Genetic Diseases and Acquired Anemias

TRA45.25 05/01/2021

Autologous Hematopoietic Cell Transplantation for Malignant Astrocytomas and Gliomas

TRA45.34 05/01/2021

Hematopoietic Cell Transplantation for Acute Lymphoblastic Leukemia

TRA45.36 05/01/2021

Hematopoietic Cell Transplantation for Acute Myeloid Leukemia

TRA45.28 05/01/2021

Hematopoietic Cell Transplantation for Autoimmune Diseases

TRA45.32 07/01/2021

Hematopoietic Cell Transplantation for Breast Cancer

TRA45.29 05/01/2021

Hematopoietic Cell Transplantation for Chronic Lymphocytic Leukemia and Small Lymphocytic Lymphoma

TRA45.35 11/01/2020

Hematopoietic Cell Transplantation for Chronic Myelogenous Leukemia

TRA45.31 02/01/2021

Hematopoietic Cell Transplantation for CNS Embryonal Tumors and Ependymoma

TRA45.33 02/01/2021

Hematopoietic Cell Transplantation for Epithelial Ovarian Cancer

TRA45.26 11/01/2021

Hematopoietic Cell Transplantation for Hodgkin Lymphoma

TRA45.30 12/01/2020

Hematopoietic Cell Transplantation for Light-Chain (AL) Amyloidosis or Waldenström Macroglobulinemia

TRA45.40 07/01/2021

Hematopoietic Cell Transplantation for Miscellaneous Solid Tumors in Adults

TRA45.27 04/01/2021

Hematopoietic Cell Transplantation for Multiple Myeloma and POEMS Syndrome

TRA45.22 03/01/2021

Hematopoietic Cell Transplantation for Non-Hodgkin's Lymphomas

TRA45.23 01/01/2021

Hematopoietic Cell Transplantation for Solid Tumors of Childhood

TRA45.37 11/01/2021

Hematopoietic Cell Transplantation in the Treatment of Germ-Cell Tumors

TRA45.38 11/01/2021
Islet Transplantation TRA13 06/01/2021

Isolated Small Bowel Transplant

TRA09 05/01/2021
Liver Transplant TRA05 06/01/2021
Lung and Lobar Lung Transplant TRA08 06/01/2021
Pancreas Transplant TRA06 01/01/2021
Placental and Umbilical Cord Blood as a Source of Stem Cells TRA45.16 04/01/2021
Small Bowel/Liver and Multivisceral Transplant TRA18 06/01/2021