US · guidance
CMS SOM App. A, Tag A-0899
§482.45(b) Standard: Organ Transplantation Responsibilities
(1) A hospital in which organ transplants are performed must be a member of the
Organ Procurement and Transplantation Network (OPTN) established and operated in
accordance with section 372 of the Public Health Service (PHS) Act (42 U.S.C. 274) and
abide by its rules. The term “rules of the OPTN” means those rules provided for in
regulations issued by the Secretary in accordance with section 372 of the PHS Act
which are enforceable under 42 CFR 121.10. No hospital is considered to be out of
compliance with section 1138(a)(1)(B) of the Act, or with the requirements of this
paragraph, unless the Secretary has given the OPTN formal notice that he or she
approves the decision to exclude the hospital from the OPTN and has notified the
hospital in writing.
(2) For purposes of these standards, the term “organ” means a human kidney, liver,
heart, lung, or pancreas.
(3) If a hospital performs any type of transplants, it must provide organ transplant
related data, as requested by the OPTN, the Scientific Registry, and the OPOs. The
hospital must also provide such data directly to the Department when requested by the
Secretary.
Interpretive Guidelines §482.45(b)(1) –(3)
If you have questions concerning the facility membership in the Organ Procurement and
Transplantation Network; you may verify the membership by contacting the CMS regional office
or by calling the United Network for Organ sharing (UNOS) at 1-804-330-8500.
Survey Procedures §482.45(b)(1) – (3)
Verify by review, one year of reports submitted by the facility to the OPTN, the Scientific
Registry, the OPOs, and any data submitted to the Department per request of the Secretary.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
d122402faeea5eb9f7ac70afe30aff47986c78e9b9f100be133100ea0e5f4c1b
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