Pre-transplant Inpatient Services

140.4 - Pre-transplant Inpatient Services (Rev. 13599, Issued: 01-30-26 , Effective: 05-01-26, Implementation: 05-01-26 ) A3-3178.4 The following rules apply to kidney transplant inpatient medical evaluations when the kidney recipient has Medicare entitlement or is in the pre-entitlement period. The pre- entitlement period is that period prior to the patient’s actual Medicare entitlement, during which services are furnished in anticipation of a transplant, after the patient has been diagnosed to have end stage renal disease. If the potential kidney recipient does not have Medicare entitlement, or is not in the pre-entitlement period, Medicare will not cover services rendered to the potential kidney recipient or to the living donor for medical evaluations.