Umbilical Cord Blood Harvesting and Storage for Future Use (for North Carolina Only)
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This UnitedHealthcare Community Plan medical policy governs umbilical cord blood harvesting and storage services for North Carolina Medicaid members. Medical-necessity coverage criteria are delegated to North Carolina Medicaid Clinical Coverage Policy 11A-14.
Coverage rationale was replaced with a directive to use North Carolina Medicaid Clinical Coverage Policy 11A-14 for medical-necessity clinical coverage criteria.
The policy added a notation that CPT code 88240 is not on the North Carolina Medicaid Fee Schedule and therefore may not be covered.
The Description of Services and Clinical Evidence sections were removed from the policy.
The FDA and reference sections were updated to current information.
Previous policy version CSNCT0109.02 was archived.
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