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US · guidance

CMS Pub. 100-03, ch. 1, § 190.1

Histocompatibility Testing

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

Histocompatibility testing involves the matching or typing of the human leucocyte

antigen (HLA). This testing is safe and effective when it is performed on patients:

A. In preparation for a kidney transplant;

B. In preparation for bone marrow transplantation;

C. In preparation for blood platelet transfusions (particularly where multiple

infusions are involved; or

D. Who are suspected of having ankylosing spondylitis.

This testing is covered under Medicare when used for any of the indications listed in A,

B, and C and if it is reasonable and necessary for the patient.

It is covered for ankylosing spondylitis in cases where other methods of diagnosis would

not be appropriate or have yielded inconclusive results. Request documentation

supporting the medical necessity of the test from the physician in all cases where

ankylosing spondylitis is indicated as the reason for the test.

History

(Rev. 12112; Issued: 06-29-23; Effective: 07- 31-23; Implementation: 07-31- 23)

Provenance

Source
cms.gov
Retrieved
2026-08-25
Edition
iom-2026-08-25
Content hash
e267f822face3dd00e8e397770a9fda2715a13c211a62a041bb3d3b62f9604b1
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