NCDActive
Lymphocyte Immune Globulin, Anti-Thymocyte Globulin (Equine)
NCD148
Effective: January 1, 1966
Updated: December 31, 2025
Policy Summary
Medicare covers lymphocyte immune globulin, specifically anti‑thymocyte globulin (equine), for management of renal allograft rejection episodes. Coverage is limited to FDA‑approved products for this indication and intended as adjunctive therapy to conventional immunosuppressive regimens; investigational or non‑FDA‑approved formulations are not covered.
Coverage Criteria Preview
Key requirements from the full policy
"Lymphocyte immune globulin, anti-thymocyte globulin (equine) is covered when used for management of renal allograft rejection episodes."
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