Celularity CEO Comments on CMS Withdrawal of Skin Substitute Coverage Determinations
Celularity released comments by Robert Hariri, CEO and Chairman, on the Centers for Medicare & Medicaid Services' recent withdrawal of skin substitute Local Coverage Determinations that were set to go into effect on January 1, 2026. On December 24, CMS announced that A/B Medicare Administrative Contractors were withdrawing the LCDs for Skin Substitute Grafts/Cellular and Tissue-Based Products for the Treatment of Diabetic Foot Ulcers and Venous Leg Ulcers scheduled to become effective on January 1. The LCDs, adopted under an earlier Medicare 2026 Skin Substitute Update, set which skin substitute products would be eligible for Medicare coverage beginning in 2026. While Celularity's Biovance and Biovance 3L remained eligible for Medicare coverage under the now-withdrawn LCDs, Medicare coverage was eliminated for 158 skin substitute products sold by other companies. Unaffected by CMS' recent action is its new payment policy that effective January 1, all skin substitute applications furnished in physician office settings and hospital outpatient department settings will be paid at a flat rate of $127.28 per square centimeter. Dr. Hariri said, "We have amassed substantial real-world evidence, or RWE, from multiple studies showing how our Biovance Human Amniotic Membrane Allograft works in actual clinical practice for wound healing, demonstrating its effectiveness in diverse, real-life diverse patient populations patients with chronic wounds. RWE from large observational studies published in the peer-reviewed journal WOUNDS and elsewhere show Biovance effectively treats chronic wounds, even in patients with multiple health issues. Other RWE shows reduced steroid use in about half of patients treated with Biovance, which evidence indicates helps decrease pro-inflammatory factors and increase anti-inflammatory ones, guiding the body's natural healing...Biovance has been supported by a highly efficient, proven scalable manufacturing process since its commercial launch in April 2014, which today allows us to operate comfortably under the new Medicare reimbursement for skin substitute products. Our sustained investment in advanced infrastructure includes a world-class GMP/GTP manufacturing facility located in Florham Park, New Jersey, where today we manufacture a range of commercial advanced biomaterial products and investigational cell therapy products, including both Celularity branded products and contract manufactured products for third parties. Consistent with our emphasis on real-world evidence gained from actual clinical use of our products, we have integrated an 'Industry 5.0' approach into our manufacturing operations, introducing digitization and AI and building adaptable and robust value chains and production systems."
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- Medicare Coverage Continuation: Celularity's Biovance and Biovance 3L products will continue to be eligible for Medicare coverage following the CMS withdrawal of skin substitute LCDs effective January 1, 2026, ensuring competitive positioning and product accessibility in the market.
- Stable Payment Structure: CMS will implement a flat payment rate of $127.28 per square centimeter for all skin substitute applications, providing Celularity with a sustainable revenue stream that enhances its financial stability.
- Manufacturing Capability Enhancement: Celularity's GMP/GTP-certified facility in New Jersey not only produces commercial biomaterials but also employs advanced digitized and AI-driven Industry 5.0 manufacturing systems, improving production efficiency and supply chain resilience.
- Market Performance Review: Over the past year, CELU's stock price fluctuated between $1.00 and $4.35, with the latest closing price at $1.34, reflecting a 1.52% increase from the previous trading day, indicating market confidence in the company's outlook.

- Policy Impact: On December 24, 2025, CMS withdrew the Local Coverage Determinations (LCDs) for skin substitutes set to take effect on January 1, 2026, which, while allowing Celularity's Biovance® to remain Medicare eligible, eliminated coverage for 158 other products, potentially reshaping market competition.
- Medicare Payment Policy: Despite the withdrawal of the LCDs, CMS's new payment policy will reimburse skin substitutes at a flat rate of $127.28 per square centimeter, providing Celularity with a stable revenue foundation that ensures its ongoing competitiveness in the market.
- Clinical Evidence Support: Celularity has amassed substantial real-world evidence demonstrating Biovance®'s effectiveness in treating chronic wounds across diverse patient populations, particularly those with multiple health issues, highlighting its unique value proposition in the market.
- Manufacturing Capability Enhancement: Since its commercial launch in April 2014, Biovance® has leveraged a highly efficient, scalable manufacturing process, integrating an 'Industry 5.0' approach that incorporates digitization and AI, thereby enhancing the adaptability and resilience of its production systems, further solidifying its market position.
- Policy Impact: On December 24, 2025, CMS withdrew the Local Coverage Determinations (LCDs) for skin substitutes set to take effect on January 1, 2026, which while maintaining Medicare coverage for Celularity's Biovance®, eliminates coverage for 158 other products, potentially reshaping market dynamics.
- Stable Payment Policy: Despite the withdrawal of the LCDs, CMS's new payment policy will still take effect on January 1, 2026, establishing a reimbursement rate of $127.28 per square centimeter for all skin substitute applications, providing a stable revenue foundation for Celularity's offerings.
- Clinical Evidence Support: CEO Hariri emphasized that Biovance® has demonstrated effectiveness in treating chronic wounds across diverse patient populations, supported by substantial real-world evidence, which enhances its competitive positioning in the market.
- Manufacturing Capability Enhancement: Since its commercial launch in April 2014, Celularity has developed a highly efficient and scalable manufacturing process, integrating an 'Industry 5.0' approach to enhance flexibility and digitization in production systems, ensuring operational viability under the new Medicare reimbursement framework.
- Successful Financing: Celularity has closed a financing transaction with Philip A. Barach, co-founder of DoubleLine Capital, securing $10 million to strengthen its financial foundation to support ongoing operations and strategic initiatives.
- Loan Structure: The financing includes a $7 million senior secured term loan, which provides a first-priority lien on nearly all of Celularity's assets, thereby enhancing the company's asset security and financing capabilities.
- Convertible Notes: Celularity issued secured convertible notes with commitments of up to $5 million, convertible at $1.66 per share, which is expected to provide flexibility in the company's future capital structure and attract more investor interest.
- Strategic Direction: The company plans to articulate its corporate strategy in the new year, focusing on applications related to healthy aging and performance optimization, aiming to drive sustainable value through innovation.
- Financing Support: Celularity has entered into two financing agreements with Philip A. Barach, co-founder of DoubleLine Capital, expected to provide up to $12 million to support its strategic priorities around longevity and human performance preservation.
- Loan Structure: This includes a $7 million senior secured term loan, which secures a first-priority lien on substantially all of Celularity's assets, thereby enhancing the company's financial flexibility to advance its core technologies.
- Convertible Notes: Celularity plans to issue up to $5 million in secured convertible notes with a conversion price of $1.66 per share, which is anticipated to provide additional capital liquidity to support future R&D efforts.
- Strategic Partnership: Barach's investment not only reflects a recognition of Celularity's scientific foundation but also aims to provide financial support and constructive perspectives as the company navigates necessary changes for a more focused future.
- Financing Amount: Celularity has entered into binding term sheets for financing that could provide up to $12 million, with an initial $10 million aimed at supporting the company's strategic priorities, particularly in longevity and human performance enhancement.
- Loan Structure: The financing includes a $7 million senior secured term loan, which secures a first-priority lien on nearly all of Celularity's assets, thereby providing essential financial flexibility to advance its core technologies.
- Convertible Notes: Celularity plans to issue up to $5 million in secured convertible notes with a conversion price of $1.66 per share, which is expected to generate additional capital inflow to support innovation in regenerative medicine.
- Strategic Partnership: The involvement of investor Philip A. Barach not only reflects recognition of Celularity's scientific foundation but also promises to provide financial support and constructive perspectives as the company navigates necessary strategic adjustments for focused business development.






