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11.00.09g, Solid Organ Transplantation and Procurement Cost of Organs and Tissues

Independence Blue Cross·General Surgery, Cardiothoracic Surgery, Nephrology +2 more·Medical Policy
Effective date
Apr 2, 2025
We identified it
Jun 19, 2026
Days to comply

Summary

This is a policy reissue for solid organ transplantation and organ/tissue procurement cost coverage. The policy was reposted on 04/04/2025 with an effective date of 04/02/2025, indicating updated coverage guidelines for transplant-related services.

Action Required

Action needed
By April 2, 2025: Billing team must review the complete updated policy 11.00.09g for solid organ transplantation and procurement services at the provided URL. Update any transplant-related billing procedures, prior authorization requirements, and coverage criteria based on the new policy guidelines. Coordinate with transplant coordinators to ensure compliance with updated requirements.