US · guidance
CMS SOM App. X, Tag X-022
§482.76 (b) A center that performs 50 percent or more of its transplants in a 12-month
period on adult patients must be approved to perform adult transplants in order to be
approved to perform pediatric transplants.
(1) Loss of Medicare approval to perform adult transplants, whether voluntary or
involuntary, will result in loss of the center's approval to perform pediatric transplants.
(2) Loss of Medicare approval to perform pediatric transplants, whether voluntary or
involuntary, may trigger a review of the center's Medicare approval to perform adult
transplants.
Guideline §§482.76 (b)(1)-(2)
A pediatric transplant program is permitted to perform adult transplants under its pediatric
Medicare approval. But, if the pediatric program performs 50% or more of its total volume of
transplants, in a 12 month period, on adults, the program must decide whether to seek an
additional adult program approval or revise their single designation to an adult designation.
If the program elects to maintain its pediatric approval and to seek an additional adult program
approval, there may be an impact in the event of a termination of one of the programs.
Termination of the pediatric program will trigger a review of the adult program. Termination of
the adult program will result in the automatic termination of the pediatric program..
History
Rev. 189, Issued: 05-24-19, Effective: 05-24-19, Implementation: 05-24-19
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
2771fe84ddeb2bddf92f9742d215b196763ef98dec7d7a7d2cafd56e909314e8
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