TMPPM 2010 > Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook > Physician > Procedures and Services > Organ/Tissue Transplants > Kidney Transplants

6.3.42.3.4 Cytogam

Procedure code J0850 is reimbursable by Texas Medicaid. Cytogam is indicated for the attenuation of primary cytomegalovirus disease in seronegative kidney transplant recipients who receive a kidney from a seropositive donor. Payment of cytogam is limited to diagnosis code V420, status post kidney transplant. Cytogam is payable only in the office or outpatient setting.

Refer to: Subsection 2.3.2.7, "Organ and Tissue Transplant Services" in Hospital Services Handbook (Vol. 2, Provider Handbooks) for more information about the transplant facility approval criteria.