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Transplants - Heart, Lung, Kidney, Pancreas, Liver, and Intestine/Multivisceral
1. Can I bill Medicare Part B for services performed before or after the official pronouncement of death of a patient whose organs are to be harvested, i.e., placement of an arterial line for the sole purpose of keeping the organs viable for good harvesting? (Last Reviewed: April 4, 2008)
2. Is procedure code 38205 (Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogenic) payable if billed to the donor of the stem cell? (Last Reviewed: July 16, 2008)
1. Can I bill Medicare Part B for services performed before or after the official pronouncement of death of a patient whose organs are to be harvested, i.e., placement of an arterial line for the sole purpose of keeping the organs viable for good harvesting? (Last Reviewed: April 4, 2008)
No. Services of this nature are performed solely as support of the donor program and are therefore part of the acquisition reimbursement made to the involved hospitals by Part A. (See Pub. 100-02, Medicare Benefit Policy Manual, Chapter 11, §140.11)
2. Is procedure code 38205 (Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogenic) payable if billed to the donor of the stem cell? (Last Reviewed: July 16, 2008)
Per Pub. 100-04, Medicare Claims Processing Manual, Chapter 32, §90.1, it states, “Expenses incurred by a donor are a covered benefit to the recipient/beneficiary but, except for physician services, are not paid separately. Services to the donor include physician services, hospital care in connection with screening the stem cell, and ordinary follow-up care.”
Therefore, this service would be billed for the recipient receiving this stem cell transplant.
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Transplants - Heart, Lung, Kidney, Pancreas, Liver, and Intestine/Multivisceral