US · guidance
CMS Pub. 100-02, ch. 11, § 140.14
Kidneys Procured En Bloc
A3-3178.15
When two kidneys are obtained from a deceased donor, and both kidneys are shipped to
the same transplant hospital or OPO, the hospital should adjust its normal charges to
reflect any increased perfusion, preservation, and shipping costs due to the additional
kidney. On the other hand, when the kidneys are sent to separate organizations or
transplant hospitals, the excising hospital should prorate its charges to the receiving
organizations so that the total charges do not exceed the amount that would have been
billed if one transplant hospital or OPO had received both kidneys.
Under 42 CFR § 413.412(c), for Medicare cost allocation purposes, OPOs and THs
count
(1) En bloc kidneys procured and transplanted en bloc (two kidneys transplanted as one
unit) as one total usable kidney. En bloc kidneys transplanted into a Medicare
beneficiary count as one Medicare usable kidney.
(2) En bloc kidneys procured en bloc but separated and transplanted into two different
recipients as two total usable kidneys. For each kidney transplanted into a Medicare
beneficiary, count each as one Medicare usable kidney.
History
(Rev. 13599, Issued: 01-30-26, Effective: 05-01-26, Implementation: 05-01-26)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0bb547a26c779479d0dd41c9baff5dea2e26526f070256cf0affec7594c6561f
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