Medicare Coverage Issues Manual - Transmittal 142
Section 35-53, Adult Liver Transplantation, is revised to provide for coverage of adult liver transplantation for patients with hepatocellular carcinoma under certain circumstances. Liver
transplantation for other forms of malignancies remains noncovered. Carriers need to advise providers of this new coverage provision via their web site or regularly scheduled bulletins. Fiscal
intermediaries need not perform inpatient medical review on these claims as they are subject to review by the Peer Review Organization Payment Error Prevention Program.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: July 17, 2001
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