Medicare National Coverage Determinations (NCD) Manual (Pub. 100-03), Ch. 1 § 20.3
Thoracic Duct Drainage (TDD) in Renal Transplants
20.3 - Thoracic Duct Drainage (TDD) in Renal Transplants
(Rev. 1, 10-03-03)
CIM 35-58
Thoracic duct drainage (TDD) is an immunosuppressive technique used in renal
transplantation. This procedure which removes lymph from kidney transplant recipients
as a means of achieving suppression of the immune mechanism, is currently being used
both pre- and post-transplant in conjunction with more conventional immunotherapy.
TDD is performed on an inpatient basis, and the inpatient stay is covered for patients
admitted for treatment in advance of a kidney transplant as well as for those receiving it
post-transplant.
The TDD is a covered technique when furnished to a kidney transplant recipient or an
individual approved to receive kidney transplantation in a hospital approved to perform
kidney transplantation.