Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 140.17
Other Covered Services
140.17 - Other Covered Services
(Rev. 13599, Issued: 01-30-26, Effective: 05-01-26, Implementation: 05-01-26)
A3-3178.18
A. Tissue Typing
Tissue typing of the recipient, as well as tissue typing and tests to determine the
suitability of a living donor or a deceased donor kidney, are covered as medical expenses,
necessary for the treatment of an eligible recipient. The costs of these services are
covered under the hospital insurance or medical insurance programs (Part B coverage
after recipient has exhausted Part A), and are reflected in the kidney acquisition costs.
B. Preservation Laboratories
The services performed by preservation laboratories are medically necessary for the
treatment of a beneficiary’s illness. A participating hospital is reimbursed for the
reasonable cost of such services which its own laboratory performs or which the hospital
purchases from a freestanding preservation laboratory or OPO.
C. Registration Fees
A participating hospital which expects to perform a kidney transplant will be reimbursed
the reasonable cost for OPTN registration fees, and the reasonable and necessary cost of
other fees, such as the registration fees for a kidney paired exchange, to register
candidates for organ transplants. These allowable registry fees must support or promote
organ transplantation and must not be duplicative in nature. (42 CFR § 413.402(b)(6)).
The reasonable cost incurred is attributable to listing the patient and the patient’s blood
characteristics with a professionally recognized organization that maintains a registry of
potential transplant candidates, and which provides a regular listing of such patients to
hospitals engaged in kidney procurement.