---
kind: "section"
citation: "42 C.F.R. § 412.100"
title: "42"
number: "412.100"
heading: "Special treatment: Kidney transplant programs."
url: "https://uscodex.org/cfr/42/412.100"
---

# §412.100. Special treatment: Kidney transplant programs.

- (a) **Adjustments for kidney transplant programs.**
  - (1) CMS adjusts the inpatient prospective payment system (IPPS) rates for inpatient operating costs determined under subparts [D](/cfr/42/subpartD.md) and [E](/cfr/42/subpartE.md) of this part for hospitals with approved kidney transplant programs (discussed at [§ 482.104](/cfr/42/482.104.md) of this chapter) to remove the net costs associated with kidney acquisition.
  - (2)
    - (i) Payment for Medicare kidney acquisition costs, as set forth in [subpart L of part 413](/cfr/42/part413-subpartL.md) of this chapter, is made on a reasonable cost basis apart from the prospective payment rate for inpatient operating costs.
    - (ii) IPPS payment to the hospital is adjusted in each cost reporting period to reflect an amount necessary to compensate the hospital for reasonable costs of Medicare kidney acquisition.
- (b) **Costs of kidney acquisition.** Kidney acquisition costs include allowable costs incurred in the acquisition of a kidney from a living or a deceased donor by the hospital, or from a deceased donor by an organ procurement organization. These costs are listed in [§ 413.402(b)](/cfr/42/413.402.md?p=b) of this chapter.

## Notes

### Amendments

[ 86 FR 73511, Dec. 27, 2021, as amended at 87 FR 72286, Nov. 23, 2022]

### Authority

Authority: 42 U.S.C. 1302 and 1395hh.

### Source

Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.

### Amendments

[ 86 FR 73511, Dec. 27, 2021, as amended at 87 FR 72286, Nov. 23, 2022]