CMS Pub. 100-02, ch. 11, § 140.11

A3-3178.12

Costs incurred by the transplant hospital in connection with the acquisition of a deceased

donor kidney are reimbursable by the program through the kidney acquisition cost center

on the hospital’s Medicare cost report. Acquisition costs involved in procuring the

deceased donor’s kidney are set forth in 42 CFR § 413.402(b) and include:

(1) Tissue typing, including tissue typing furnished by independent laboratories.

(2) Donor and beneficiary evaluation.

(3) Other costs associated with excising organs, such as general routine and special care

services (for example, intensive care unit or critical care unit services), provided to the

living or deceased donor.

(4) Operating room and other inpatient ancillary services applicable to the living or

deceased donor.

(5) Organ preservation and perfusion costs.

(6) Organ Procurement and Transplantation Network 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.

(7) Surgeons' fees for excising deceased organs (currently limited to $1,250 for kidneys).

(8) Transportation of the: (i) Excised organ to the transplant hospital; and (ii) Deceased

donor to procure organs when it is necessary to preserve clinical outcomes or to avoid

loss of potentially transplantable organs.

(9) Costs of organs acquired from other hospitals or organ procurement organizations.

(10) Hospital costs normally classified as outpatient costs applicable to organ excisions

(services include donor and recipient tissue typing, work-up, and related services

furnished prior to inpatient admission).

(11) Costs of services applicable to organ excisions which are rendered by residents and

interns not in approved teaching programs.

(12) All pre-admission services applicable to organ excisions, such as laboratory,

electroencephalography, and the costs of physicians' services.