Small Bowel/Liver and Multivisceral Transplant

Covers small bowel–liver and multivisceral (intestinal ± liver and other abdominal organs) transplantation and retransplantation for pediatric and adult patients with intestinal failure—e.g., short bowel syndrome or TPN‑dependent patients with loss of absorptive function, TPN‑related liver failure, recurrent catheter sepsis, or inaccessible vascular access. Coverage requires adequate cardiopulmonary status, documented compliance with medical management, and plan-specific authorization; exclusions include active or high‑risk malignancy, untreated systemic infection, psychosocial/substance‑use barriers to adherence, and any transplant or organ procured or performed in countries implicated in forced organ harvesting, with final determinations governed by the member’s benefit plan.

"Small bowel-liver transplant or multivisceral transplant for pediatric and adult individuals with intestinal failure characterized by loss of absorption and inability to maintain protein-energy, fl..."