Request for transplant or transplant-related services prior to pre-treatment or evaluation,
including the following CPT Procedure Codes for Specifically Requested Transplantations:
BONE MARROW – Peripheral Stem Cell
38230 Bone marrow harvesting for transplantation
38240 Bone marrow or blood-derived peripheral stem cell transplantation; allogenic
38241 Bone marrow or blood-derived peripheral stem cell transplantation; autologous
38242 Bone marrow or blood-derived peripheral stem cell transplantation; allogeneic donor
lymphocyte infusions
HEART / LUNG
33930 D onor cardiectomy-pneumonectomy, with preparation and maintenance of allograft
33935 Heart-lung transplant with recipient cardiectomy-pneumonectomy
HEART
33940 D onor cardiectomy, with preparation and maintenance of allograft
33945 Heart transplant, with or without recipient cardiectomy
0051T I mplantation of a total replacement heart system (artificial heart) with recipient
cardiectomy
0052T Replacement or repair of thoracic unit of a total replacement heart system
(artificial heart)
0053T Replacement or repair of implantable component or components of total replacement
heart system (artificial heart), excluding thoracic unit
LUNG
32850 D onor pneumonectomy(ies) with preparation and maintenance of allograft (cadaver)
32851 L ung transplant, single; without cardiopulmonary bypass
32852 with cardiopulmonary bypass
32853 L ung transplant, double (bilateral sequential or en bloc); without cardiopulmonary
bypass
32854 with cardiopulmonary bypass
KIDNEY
50300 D onor nephrectomy, with preparation and maintenance of allograft, from cadaver donor,
unilateral or bilateral
50320 D onor nephrectomy, open from living donor (excluding preparation and maintenance of
allograft)
50340 Recipient nephrectomy
50360 Renal allotransplantation, implantation of graft; excluding donor and recipient
nephrectomy
50365 with recipient nephrectomy
50370 Removal of transplanted renal allograft
50380 Renal autotransplantation, reimplantation of kidney
50547 L aparoscopic donor nephrectomy from living donor (excluding preparation and
maintenance of allograft)
PANCREAS
48160 Pancreatectomy, total or subtotal, with autologous transplantation of pancreas or
pancreatic islet cells
48550 D onor pancreatectomy, with preparation and maintenance of allograft from cadaver
donor, with or without duodenal segment for transplantation
48554 Transplantation of pancreatic allograft
48556 Removal of transplanted pancreatic allograft
LIVER
47135 L iver allotransplantation; orthotopic, partial or whole, from cadaver or living donor, any
age
47136 heterotopic, partial or whole, from cadaver or living donor, any age
INTESTINE
44132 D onor enterectomy, open, with preparation and maintenance of allograft; from cadaver
donor
44133 partial, from living donor
44135 I ntestinal allotransplantation; from cadaver donor
44136 from living donor
