Medicare Benefit Policy Manual (Pub. 100-02), Ch. 11 § 140.6
Kidney Recipient Admitted for Transplant Evaluation
140.6 - Kidney Recipient Admitted for Transplant Evaluation
(Rev. 13599, Issued: 01-30-26, Effective: 05-01-26, Implementation: 05-01-26)
A3-3178.6, RDF-233, RDF-233.2
When a potential kidney recipient is admitted to a hospital (before admission for the
actual transplant) solely for a medical evaluation for an anticipated kidney transplant, all
hospital and physicians’ services costs applicable to the anticipated transplant are
considered kidney acquisition costs.