[Code of Federal Regulations]

[Title 42, Volume 2]

[Revised as of October 1, 2005]

From the U.S. Government Printing Office via GPO Access

[CITE: 42CFR412.100]



[Page 510-511]

 

                         TITLE 42--PUBLIC HEALTH

 

                    CHAPTER IV--CENTERS FOR MEDICARE

                          & MEDICAID SERVICES,

                        DEPARTMENT OF HEALTH AND

                             HUMAN SERVICES

 

PART 412_PROSPECTIVE PAYMENT SYSTEMS FOR INPATIENT HOSPITAL SERVICES

--Table of Contents

 

Subpart G_Special Treatment of Certain Facilities Under the Prospective 

              Payment System for Inpatient Operating Costs

 

Sec. 412.100  Special treatment: Renal transplantation centers.



    (a) Adjustments for renal transplantation centers. (1) CMS adjusts 

the prospective payment rates for inpatient operating costs determined 

under subparts D and E of this part for hospitals approved as renal 

transplantation centers (described at Sec. Sec. 405.2170 and 405.2171 

of this chapter) to remove the estimated net expenses associated with 

kidney acquisition.



[[Page 511]]



    (2) Kidney acquisition costs are treated apart from the prospective 

payment rate for inpatient operating costs, and payment to the hospital 

is adjusted in each reporting period to reflect an amount necessary to 

compensate the hospital for reasonable expenses of kidney acquisition.

    (b) Costs of kidney acquisition. Expenses recognized under this 

section include costs of acquiring a kidney, from a live donor or a 

cadaver, irrespective of whether the kidney was obtained by the hospital 

or through an organ procurement agency. These costs include--

    (1) Tissue typing, including tissue typing furnished by independent 

laboratories;

    (2) Donor and recipient evaluation;

    (3) Other costs associated with excising kidneys, such as donor 

general routine and special care services;

    (4) Operating room and other inpatient ancillary services applicable 

to the donor;

    (5) Preservation and perfusion costs;

    (6) Charges for registration of recipient with a kidney transplant 

registry;

    (7) Surgeons' fees for excising cadaver kidneys;

    (8) Transportation;

    (9) Costs of kidneys acquired from other providers or kidney 

procurement organizations;

    (10) Hospital costs normally classified as outpatient costs 

applicable to kidney excisions (services include donor and donee tissue 

typing, work-up, and related services furnished prior to admission);

    (11) Costs of services applicable to kidney excisions which are 

rendered by residents and interns not in approved teaching programs; and

    (12) All pre-admission physicians services, such as laboratory, 

electroencephalography, and surgeon fees for cadaver excisions, 

applicable to kidney excisions including the costs of physicians 

services.



[50 FR 12741, Mar. 29, 1985, as amended at 57 FR 39824, Sept. 1, 1992]