Medicare program; criteria for Medicare coverage of lung transplants--HCFA. Notice with comment period.
This notice announces a Medicare national coverage decision for lung and heart-lung transplantations. Lung transplantation refers to the transplantation of one or both lungs from a single cadaver donor. Heart-lung transplantation refers to the transplantation of one or both lungs and the heart from a single cadaver donor. We have determined that, under certain circumstances, lung transplants and heart-lung transplants are a medically reasonable and necessary service when furnished to patients with progressive end-stage pulmonary or cardiopulmonary disease and when furnished by Medicare participating facilities that meet specific criteria, including patient selection criteria. DATES: This notice is effective February 2, 1995. For information on how this notice effects Medicare payment for lung and heart-lung transplants, see sections E and F of this notice.
D014487:Centers for Medicare and Medicaid Services, U.S.; D003625:Data Collection; D005161:Facility Regulation and Control; D005102:Health Expenditures; D016041:Heart-Lung Transplantation / Q000191:economics* / Q000592:standards; D006801:Humans; D007349:Insurance, Health, Reimbursement; D016040:Lung Transplantation / Q000191:economics* / Q000592:standards; D006278:Medicare / Q000331:legislation & jurisprudence*; D018579:Patient Selection; D014481:United States