About this policy
CMS National Coverage Determination | ncd_id=93 | manual_section=110.16 | coverage_level_code=1 | national_coverage_type=True | under_review=False | lab_ncd=False
Coverage indications
These pretransplant transfusions are covered under Medicare without a specific limitation on the number of transfusions, subject to the normal Medicare blood deductible provisions. Where blood is given directly to the transplant patient; e.g., in the case of donor specific transfusions, the blood is considered replaced for purposes of the blood deductible provisions.
Documentation requirements
Item/Service Description: Transplant surgeons have established a definite correlation in both cadaver and living-related kidney transplantation between pretransplant transfusions of blood into the recipient and the success of graft retention. Cross Reference: See the Medicare General Information, Eligibility, and Entitlement Manual , Chapter 3, §20.5.4. Benefit Categories: 35 - Inpatient Hospital Services
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
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