National Coverage Determination (NCD)

Thoracic Duct Drainage (TDD) in Renal Transplants


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Tracking Information

Publication Number
Manual Section Number
Manual Section Title
Thoracic Duct Drainage (TDD) in Renal Transplants
Version Number
Effective Date of this Version
This is a longstanding national coverage determination. The effective date of this version has not been posted.

Description Information

Benefit Category
Inpatient Hospital Services
Physicians' Services

Please Note: This may not be an exhaustive list of all applicable Medicare benefit categories for this item or service.

Item/Service Description

Thoracic Duct Drainage (TDD) is an immunosuppressive technique used in renal transplantation. This procedure, which removes lymph from kidney transplant recipients as a means of achieving suppression of the immune mechanism, is currently being used both pre-transplant and post-transplant in conjunction with more conventional immunotherapy.

Indications and Limitations of Coverage

TDD is performed on an inpatient basis, and the inpatient stay is covered for patients admitted for treatment in advance of a kidney transplant as well as for those receiving it post-transplant.  TDD is a covered technique when furnished to a kidney transplant recipient or an individual approved to receive kidney transplantation in a hospital approved to perform kidney transplantation.

Additional Information

Other Versions
Title Version Effective Between
Thoracic Duct Drainage (TDD) in Renal Transplants 1 01/01/1966 - N/A You are here