Appendix E - National Coverage Determinations Manual / ADULT_LIVER_TRANSPLANTATION

Why This Topic Matters

Coverage policy for adult liver transplantation affects whether services are payable under Medicare and how related post-transplant care is handled. Understanding the policy is important for accurate reimbursement, medical necessity review, and compliance with CMS requirements.

Article Sections

1. A. General

   Summarizes the Medicare coverage framework for adult liver transplantation and the categories of liver disease addressed by the policy. It also notes the facility approval requirement and the general coverage timeline.

2. B. Follow-up Care

   Addresses coverage of follow-up care and retransplantation in relation to liver transplant services. It also notes coverage considerations for patients after discharge following a non-covered transplant.

3. C. Immunosuppressive Drugs

   Points readers to related manual references governing immunosuppressive drug coverage. This section serves as a cross-reference to other Medicare policy guidance.