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Patients in need of organ transplants are referred to hospital transplantation centers. General referrals are made through physicians specializing in end-organ disease such as Nephrologist, Gastroenterologists, Cardiologists, or Pulmonologist (for more information, click here).

Physician costs that can be included in the Medicare cost report-Organ Acquisition Cost Center include the following:

• All donor and recipient pre-admission physician transplant evaluation services
• Laboratory service such as tissue typing
• The surgeon's professional fees for excision of an organ from a cadaver
• Pre-Admission laboratory and electroencephalography services
• Costs associated with acquiring organs for transplant (cadaver donor and living donor)
• Services of residents and interns not in an approved teaching program
• An appointed medical director supervises each specific organ transplant program. The physician or surgeon is responsible for planning, organizing, conducting and directing the transplant center.

However, some physician costs can't be included in the Medicare cost report organ acquisition costs. Some reference physician services can be billed under the Medicare Part B physician fee schedule (click here for fee schedule). Some of the reference services cost includes the following:

• Hospital physician transplant services
• Post-Transplant services for the recipient
• Medical evaluations occurring during the same inpatient stay as the transplant
• Excision of an organ from a live donor
• Postoperative physician services for the live donor

Other Charges include:
Transplant Recipient Charges (click here)
Transplant Donor Charges (click here for page 1, page 2, page 3)

Other Billing/Coding Information:
Organ Allograft Rejection Codes (DRGs) (click here)
Organ Transplantation UB Billing Codes (click here)