Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 140.17

Other Covered Services

Last amended: 2026Year: 2026Length: 247 wordsOfficial source
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.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 140.17: Other Covered Services | Justis AI