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US · guidance

CMS Pub. 100-02, ch. 11, § 140.4

Pre-transplant Inpatient Services

activein force · 2026-08-25 – presentas-observed

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.

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
07ff616e6fa26ff243f28ade152840a37f7608fbdde305fff7a4ea879814bd8a
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