National Coverage Determination (NCD)

Extracorporeal Immunoadsorption (ECI) Using Protein A Columns - Retired

20.5

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Tracking Information

Publication Number
100-3
Manual Section Number
20.5
Manual Section Title
Extracorporeal Immunoadsorption (ECI) Using Protein A Columns - Retired
Version Number
2
Effective Date of this Version
01/01/2021
Ending Effective Date of this Version
01/01/2021
Implementation Date
06/22/2021

Description Information

Benefit Category
Outpatient Hospital Services Incident to a Physician's Service


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

Item/Service Description

Extracorporeal immunoadsorption (ECI), using Protein A columns, has been developed for the purpose of selectively removing circulating immune complexes (CIC) and immunoglobulins (IgG) from patients in whom these substances are associated with their diseases. The technique involves pumping the patient's anticoagulated venous blood through a cell separator from which 1-3 liters of plasma are collected and perfused over adsorbent columns, after which the plasma rejoins the separated, unprocessed cells and is retransfused to the patient.

Indications and Limitations of Coverage

20.5 Extracorporeal Immunoads01-01-21orption (ECI) Using Protein A Columns
(Rev.10838, Issued, 06-08-21 Effective: 01-01-21, Implementation 06-22- 21)

Effective January 1, 2021, the Centers for Medicare & Medicaid Services determined that no national coverage determination (NCD) is appropriate at this time for Extracorporeal Immunoadsorption (ECI) Using Protein A Columns. In the absence of an NCD, coverage determinations will be made by the Medicare Administrative Contractors under 1862(a)(1)(A) of the Social Security Act.

Transmittal Information

Transmittal Number
10838

National Coverage Analyses (NCAs)

This NCD has been or is currently being reviewed under the National Coverage Determination process. The following are existing associations with NCAs, from the National Coverage Analyses database.

Additional Information

Other Versions
Title Version Effective Between
Extracorporeal Immunoadsorption (ECI) Using Protein A Columns - Retired 2 01/01/2021 - 01/01/2021 You are here
Extracorporeal Immunoadsorption (ECI) Using Protein A Columns 1 01/01/2001 - 01/01/2021 View