S2103 Adrenal tissue transplant

Adrenal tissue transplant to brain

Medicare pricing for S2103

Physician Fee Schedule (CY 2026, RVU26D)

Status I: not valid for Medicare (Medicare uses another code).

Payer policies and prior authorization for S2103

1 of 1 payer prior-auth lists that name S2103 require prior authorization or set conditions: Rocky Mountain Health Plans.

PayerPlanStatePrior authConditionsSinceSource
Rocky Mountain Health PlansRocky Mountain Health Plans CHP+COprior auth requiredOct 1, 2026Rocky Mountain Children’s Health Plan - prior authorization Effective October 1, 2026

Payer coverage policies that name S2103

S2103 appears in 4 coverage policies from Anthem, Blue Cross & Blue Shield of Rhode Island, BlueCross BlueShield of South Carolina, Capital Blue Cross.

PayerPolicyRole in policyReviewedDocument
AnthemCell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft) (TRANS.00004)unproven / investigationalFeb 19, 2026payer document
Blue Cross & Blue Shield of Rhode IslandAdrenal-to-Brain Transplantationnot coveredFeb 18, 2026payer document
BlueCross BlueShield of South CarolinaCell Transplantation (Mesencephalic, Adrenal-Brain and Fetal Xenograft) (CAM 075)listed, no stanceMar 1, 2026payer document
Capital Blue CrossExperimental and Investigational Procedures (MP 4.002)
Procedure codes: Miscellaneous
listed, no stanceSep 1, 2026payer document

Recent prior-auth changes

  • Oct 31, 2024: PA removed, Cigna
  • Oct 31, 2024: PA removed, Cigna

Medicaid fee-for-service

Prior authorization required or conditional in IN.

  • ND: $0.00 (physician), effective Aug 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.