Non-covered Procedure Codes Transfuse ICD-10-PCS
The non-covered procedure codes transfuse edit is a coverage check in Medicare’s claim-validation software, the Medicare Code Editor (MCE). It covers the 6 ICD-10-PCS procedure codes listed below. These stem-cell and bone-marrow transfusion codes are paid normally, except when one of the trigger diagnoses below appears on the claim, in which case the procedure is denied as non-covered.
Diagnosis Condition
These procedures are non-covered only when one of the following diagnoses is reported as the principal or a secondary diagnosis.
Procedure Codes in This Edit 6 codes · 2 categories
Male Reproductive System1 code
- 0VTQ4ZZ Resection of Bilateral Vas Deferens, Percutaneous Endoscopic Approach
Circulatory5 codes
- 30233G0 Transfusion of Autologous Bone Marrow into Peripheral Vein, Percutaneous Approach
- 30233Y0 Transfusion of Autologous Hematopoietic Stem Cells into Peripheral Vein, Percutaneous Approach
- 30243AZ Transfusion of Embryonic Stem Cells into Central Vein, Percutaneous Approach
- 30243G0 Transfusion of Autologous Bone Marrow into Central Vein, Percutaneous Approach
- 30243Y0 Transfusion of Autologous Hematopoietic Stem Cells into Central Vein, Percutaneous Approach
Questions About This Code Edit
What is the non-covered procedure codes transfuse Medicare code edit?
The procedures shown below are identified as non-covered procedures only when any code from the diagnoses list shown below is present as either a principal or secondary diagnosis. The Medicare Code Editor flags any inpatient claim that triggers the check.
How many codes are on the non-covered procedure codes transfuse list?
The FY 2026 list contains 6 codes, imported from the CMS Definitions of Medicare Code Edits v43.0.
When does the non-covered procedure codes transfuse edit apply?
These procedures are non-covered only when one of the following diagnoses is reported as the principal or a secondary diagnosis. The condition list contains 11 ICD-10-CM diagnosis codes.
Does this edit make the codes invalid?
No. Every code on this list is a valid code. The edit is about Medicare payment rules, not about whether the code exists or can be documented.
Other ICD-10-PCS Medicare Code Edits
Source: CMS Definitions of Medicare Code Edits v43.0, effective October 1, 2025 through September 30, 2026. Code lists are imported directly from the official manual. See also the ICD-10-CM diagnosis edits and the MS-DRG list.
